- Getting involved in local advocacy groups to promote positive change in the community
- Advocacy Campaigns
- Youth mentor, providing guidance and support to empower the next generation of leaders
- Volunteer Work
Kimberly Lancaster
Jonesboro,USA
Summary
Diligent patient advocate specialist with a background in public health analysis. Successfully contributed to multiple public health initiatives, enhancing community health programs. Demonstrated proficiency in data analysis and policy development, ensuring effective health interventions.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Public Health Analyst Volunteer
TMJ Association
03.2018 - 02.2025
- Assist in bringing awareness to the national leader in Temporomandibular patient care advocacy by advocating safe, evidence-based, and FDA-regulated care in collaboration with many federal agencies, Patient and Provider Roundtables, and researchers with a national outreach
- Areas of outreach worked on include written publications, essays, social media presence, and any needed campaign efforts to increase donation and outreach efforts
- Participation in surveys among affected patient populations and identifying at-risk patients while presenting and pushing their stories to the forefront of government and media recognition
- Issues confronted are total joint replacement adverse effects for TMD diseases requiring this treatment, the hazardous push for unnecessary surgeries for the wrong patients, and adopting the predictable standard of care protocols for patient populations
- Government Lobbying in Federal Sectors with health reform focus on patient care delivery modalities
- Selected to speaker and presenter before the National Academies of Sciences, Engineering, and Medicine, led to contributions to recommendations that will shape the future of TMD medicine and the disciplined care teams that treat the disorder
- FDA Roundtable participant
Certified Clinical Medical Assistant (CCMA) Extern
Concentra
11.2023 - 12.2023
- Exposure to chest and orthopedic X-ray examination studies
- Assisted in conducting DOT physicals
- Exposure to trauma, occupational medicine, and worker’s compensation patient populations
- Documentation performed in Allscripts EHR system
Patient Advocate and Navigator
UnitedHealth Group
08.2021 - 12.2022
- Assisted clients in receiving services by telephone and in person.
- Assessed clients and gathered relevant information.
- Offered information and supported clients and their families.
- Contacted and made referrals to other agencies and services.
- Maintained accurate records and prepared reports.
- Participated in training, supervision, and meetings.
Academic Paper Author, Gender Patterns in Medicine
Mercer University College of Professional Advancement
01.2021 - 12.2021
- 2021 Popular Culture Association Conference, Undergraduate Sessions
- Academic Paper Author, Gender Patterns in Medicine Researcher, Mercer University College of Professional Advancement student representative, and Approved Conference Presenter
- Paper Abstract and Presentation Accepted, Presented June 3, 2021
- Paper focus and title: Combating Sexism and Misogyny in the surgical specialists of medicine and their widespread cultural acceptance and depictive normalizations- Laughing Stocks of Surgical Medicine: Workplace Misogyny in Lucy Gannon’s Bramwell
Volunteer Counselor, Listener
Seven Cups of Tea
11.2016 - 02.2020
- Trained through courses provided by therapist and psychologist through certification courses to provide global online, mental health support to adolescents, teens, and adult populations
- Areas of Interest and categories of service include depression, managing emotions, work stress, bullying, conflict resolution strategies, domestic violence for both genders, trauma survivors, PTSD, caregiver coping
Public Health Analyst Research Project
National Academies of Sciences, Engineering, and Medicine
02.2019 - 12.2019
- Presented oral and written presentations on Temporomandibular disorders (TMD), including concurrent craniomandibular contributory disorders, including comorbidities
- Topics discussed in researching, presenting, and collaborating included care access, research, safety, evidence-based efficacy, adopting predictable standards of care, and looking at the socioeconomic and financial burdens to patients, family units, and health systems
- Explored, researched, and held think tank-type activities through actual medical cases and interviews with caregivers and patients about the drain and economic impacts from disabilities derived directly and indirectly from the overall health impact of TMD
- Promoted equity in healthcare access by analyzing disparities in service utilization among different populations, informing targeted interventions aimed at reducing such gaps.
- Advised on the design and implementation of health promotion campaigns, ensuring that messaging was grounded in evidence-based practices and tailored to specific community needs.
Claims Associate Complex Bodily Injury Auto Segment
State Farm Mutual Automobile Insurance Company
03.2017 - 02.2019
- Working in complex tier 2 and tier 3 bodily injury auto claims involves a myriad of skills as you're an investigator, evaluator, file handler, marketer, and negotiator.
- Required proficiency in medical records request per HIPPA guidelines, managing treatment frequency and recovery progression through evaluation of SOAP notes.
- Ability to review complex medical procedures including neurological, neurosurgery, and orthopedic.
- Experienced in multi - carrier coordination of benefits per state statutes and contractual agreement to carry out effective claims handling and subrogation potentials and referrals
- Medical billing Coding, Reimbursement, and Statement Review
- Mirrored competencies of a advanced knowledge medical terminology, procedures, and diagnostics
- Assisting in scheduling appointments
- Managed Complex bodily injury claim exposures and risks including excess and high dollar amount multi- party with multi- casualty claims
- You have many colorful and diverse hats in this type of role.
- You have to market your liability decision and valuation to all parties involved to effectively reach a agreeable settlement.
- As a claim professional, you navigate through the flying emotions and trauma of injury to close the claim and attempt to indemnify that party.
- Complex bodily injury professionals are required to effectively foster relationships with medical providers, other carriers, attorneys on both sides, our company executive officers, insureds, claimants, service providers, and co- workers.
- The knowledge base required is steep as we must know medical terminology, all statutory compliance laws, fair claim practices, ERISA healthcare lien laws, and the list is vast in range.
- Performing asset checks and legal research via Lexus Nexis legal software as part of claim investigations and pre-litigation planning strategies.
- Identifying red flags for potential fraudulent claims activity per company and NICB protocols to include making appropriate referrals to the Special Investigation Unit Department.
- Evaluating and negotiating subrogation claims between carriers and TPAs via Arbitration Forums Inc.
- Utilizing CPCT Codes, ICD 9, ICD 10, medical terminology, medical reports to evaluate and create modeled injury range of values and evaluations using integrated claims software to produce cost effective algorithms and fair settlement amount including handling property damage involved in the losses and rental reservation management during the repair and initiation of total loss process.
Insurance Field Agent Consultant /Business Model Management
American Family Insurance
08.2016 - 12.2016
- My vast insurance knowledge was brought on board to coach and assist my assigned independent field agent begin his business in the Sandy Springs market and assist him with honing the skills necessary to master risk management assessment techniques to build a solid book of business from the ground up with the bonus of managing the agency's business model.
- As a insurance field agent consultant managing my new agent's business model to insure him success in launching his business off the ground as an industry new comer was my ultimate goal and focus.
- Strategic placement and planning real estate in relation to business office location to gain as much foot traffic as possible for company assigned market.
- In the real estate phase, consulted on lease contract negotiations, redlining lease contract proposals, and final contract negotiations.
- Implemented targeted marketing strategies and developed online customer leads in the auto, renters, and home owner's insurance markets.
- Doubled new agent's sales to increase agency profit margins to secure success in meeting district sales metrics and goals.
- Provided insurance counseling to a diverse customer market to protect their assets through appropriate lines and products.
Sales Consultant/ Agent Personal and Commercial Lines/Assistant Manager
First Acceptance Corporation
11.2015 - 08.2016
- First achievement was passing GA Resident Agent License in Property and Casualty sections in personal and commercial lines on first attempt within only two weeks of prep and completion of 40-hour course.
- Spear headed a successful commercial launch of Victoria acquisition
- Trained a new and upcoming agent that passed exam on first attempt including managing multiple sub offices with employee oversight, recruiting, and office management including restructuring of on boarding procedures and on boarding delivery. Human Resources function for field offices in district was a primary responsibility as well.
- Increased book of business to second in region and first in the district
- Managed all direct consumer sales, marketing campaigns, accounting functions, and customer population research of sales data and reports for the office.
- Floater for multiple offices in our district and brought their books of business up to positive outcomes and secured customer renewal and retention of enforce policies including up sells for new and additional customers.
- Strengthened community colleges and tech school student association relationships with the student discount as a marketing tool and safe risk assessment strategy as statistical research I conducted proved these risks were safer and less costly drivers to carry and easier to retain with reasonable risk experience and payment responsibility
- Introduced new discount strategies that underwriting implemented
- Provided product presentations to personal lines and commercial lines consumers in all lines
Claims Adjuster for SE/MW /Claims Analyst
GEICO Regional 3 & 9 Office
01.2013 - 03.2015
- When my skill set was recruited on board by senior management, GEICO was in a breaking- the- mold phase primarily in their claims handling and underwriting principles.
- The norm was "out of the box" innovation in every project I tested or commanded.
- In unison with the vendor zone managers in the Emergency Road Service claims department as part of the team, negotiated and secured cost effective and service-oriented contracts benefiting both GEICO and policyholders.
- My vendor relationship efforts led to GEICO having all service areas adequately covered including rural areas, Alaska, and Hawaii.
- As a lead adviser and developer on the software testing and development "think tank," I created industry revolutionary software applications geared at meeting the specific needs of the claims adjuster and insurance professionals in all departments.
- Created and implemented a trend setting shorter claims handling life cycle model for the first and third party disputed and non- disputed claims that became a company wide success that led to our success in closing profit loss gaps.
- In working with our Senior SIU Director, I invented a " Red Flags" fraud identifier checklist to aid our claims adjusters in identifying and curving soft and hard fraud in claims handling.
- Floor support lead of 500 claims adjusters and multiple sub- teams assigned to handle 15 states with a 500 open case load of my own consisting of a mix of complex claims including disputed liability.
- Gained full authority of claims reserves management, acceptance, denial, settlement negotiations, or litigation referral. In addition, handled high volume complex property loss and worked on numerous in office catastrophe response teams serving as a hub base in Macon for multi-state claims evaluation of closure during some of the worst natural disaster to hit the insurance industry during my service at GEICO. Selected for elite CAT response team while still in claims training due to exemplary knowledge and performance in all areas of claims handling.
- Working in collaboration with staff counsel defense attorneys, arbitrators, and mediators on complex litigation strategies, investigations, and multi- party complex cases.
- Receiving three pay grade promotions and role promotions including project management leads and management principals in insurance leadership one on one development mentoring
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Sales and Marketing Professional/Events Coordinator
Chick-fil-A
11.2011 - 01.2013
- Employee on boarding, supervision and training delivery of modules, assisting hiring team with recruitment, interviewing, and candidate selection.
- Working with corporate events catering to resolve unique event hosting problems, improve operations and provide exceptional customer service.
- Monitoring social media and online sources for industry trends.
- Managing quality assurance program including on site evaluations, internal audits and customer surveys.
- Negotiating agreements between employees to clarify misunderstood directions and resolve conflicts affecting performance of the event cycle turn around on product delivery
- Spear- headed the online catering features for more convenient 24 hour ordering and event planning around customers schedules
- Assisting and organized specialized fundraisers for schools, clubs, and church's individualized need
- Creating and developed themes for family fun nights, special customer event nights, and school spirit night
- Supporting Piedmont Breast Cancer and other charities through community outreach and fundraising through our customer base
- Aiding in creating marketing and social media post related to upcoming event reservations and offerings including catering products and services.
- Managing high dollar corporate accounts including pharmaceutical sales breakfast and lunch presentation events, GA Power Events, and other corporations throughout service area after securing the business account and growing account market for our demographic beyond single household customer base to a corporate event venture
Customer Service Representative, Donations Coordinator
American Kidney Services
05.2011 - 12.2011
- Compiling customer feedback and recommended service delivery improvements to management.
- Achieving and consistently exceeding revenue quota through mission statement and service promotion during routine calls.
- Overseeing the scheduling and mapping of donor routes throughout Georgia.
- Exceeding the donation goal on several occasions.
- Serving in the capacity of records management that involved the entry and management of customer information and donation preferences.
- Implementing new and improved procedures and protocols for collecting and updating customer information and better serving the community's needs. Worked in the area of marketing as well.
- Researching organization our records and other various sources of data to best configure projections and new solicitation strategies for target areas.
- Identifying many new donors and improved efficiency standards resulting in bringing donation in previously low donation areas up by 40%
- Remapping donation pick- up roots to reduce fuel and overhead cost to yield more resources from items donated to organization.
Sales And Marketing Specialist/ Mc Cafe' Trainer/Product Pilot Launcher
McDonald's Corporation
02.2009 - 02.2011
- Performed human resource functions in store for corporate operator office for employees including hiring events, conducting interviews with management team, and recruiting efforts.
- Experiencing vast business development growth with many great leaders within the Corporate McDonald's operator support services family including one of the top performing operators for his state and division the late, Ray Justice.
- My position began here with the launch of the McCafe' beverages and campaign we've all grown to love.
- This was my pilot project in the stores I served and as time would tell it has been the company's biggest success especially in the GA market.
- Providing training support to various stores, attending private brand marketing campaign meeting think tanks, participated and analyzed product test data within targeted markets
- Assisting in identifying targeted customer populations through data analysis of marketing surveys and customer feedback including recorded sales projections
- Being part of a piece of corporate history as legendary as the Big Mac that remains one of the most popular and highest grossing menu products.
- Other responsibilities carried out in my role were product surveys and observations, store operations support, finance management, and upper management relations.
- Coordinating in collaboration with Ronald McDonald's corporate staff successful fundraising campaigns to facilitate adding on to and upgrading the Ronald McDonald's facilities utilized by chronically ill and cancer patients by Children's Healthcare of Atlanta. Highest grossing donations for GA Operators in the McDonald's Franchise
Administrative Assistant/ Office/Customer Service Manager
Dee Dee's Treasures and Thrift
08.2007 - 08.2010
- Performing numerous clerical and office tasks while serving in these capacities/ promoted to office manager.
- Managing the office by performing bookkeeping, filing, scheduling, filling out business licensing forms, drawing up legally compliant consignment contracts and files, and answering phone systems that involved directing calls to appropriate departments.
- Performing research tasks in regard to antique merchandise, auto parts, and various items that needed authenticity and pricing verification.
- In addition, conducting financial audits, inventory cataloging, and organization per company protocol.
- Supervision of company associates under my direct authority.
- Conducting marketing campaigns, online sales, retail sales, merchandising, effective, creative design in displays and web- based applications
Office manager/ Customer Service Representative
Jim Anderson Pest Control Service
06.2001 - 06.2007
- Serving as a customer service representative and providing information to customers about services and pest solutions.
- Assisting customers in scheduling services.
- Maintaining records, performing bookkeeping, managing route scheduling, dispatching technicians. / was promoted to office manager in 2002.
- Becoming responsible for implementing new record keeping practices and systems, posting payments to customer accounts, mailing out monthly marketing documents, responding to all customer correspondence and emails.
- Responsible for collections on past due accounts as well.
- Quality Control/ Supervision of Service Personnel.
Education
Bachelor's - Healthcare Leadership, Human Services Specialization, Pre-Medicine Coursework
Mercer University
Atlanta, GA05-2026
High school or equivalent - Advanced business law, mathematics, linguistics
Faith Academy
Locust Grove, GATechnical Certification - Certified Clinical Medical Assistant, CCMA
Stepful Healthcare Training
Detroit, MI11.2023
Certification - Claim Basics 4th Edition, Flood Insurance Cert. Legal Doctrines, Retirement Planning including IRAs, Anti- Money Laundering: Suspicious Activities and SARs, Ethics in Finance, Fiduciary Duty, Insurance including claims handling
Kaplan University School of Financial Education
La Crosse, WI12.2019
Continuing Education - Insurance, Ethics, Legal
Better Insurance Education Insurance School
Atlanta, GA08.2017
Lean Six Sigma Yellow Belt - business
GEICO University
Macon, GA01.2013
Diploma - Performing Arts, Choreography, ballet, jazz, tap
Dance Academy
Stockbridge, GA06.2004
Skills
- Telehealth (1 year)
- Linguist Experience
- Underwriting
- Office management
- Occupational health
- Supervising experience
- Public speaking
- Analysis skills
- Medical records
- Patient observation
- Salesforce
- Data Analysis
- Microsoft Office
- Microsoft Access
- Medical coding
- Insurance sales
- Insurance verification
- Research
- Customer service
- Occupational Health Experience
- Vital signs
- Negotiation
- Writing skills
- Google Suite
- Medical terminology
- Laboratory experience
- EMR systems
- Medication administration
- CRM software
- Business development
- Medical Billing
- Fundraising
- Analytics
- Computer skills
- Medical Terminology
- Social media management
- Dental terminology
- Business Development
- Sales management
- Microsoft Outlook
- Internal Audits
- Diagnostic radiology
- IT
- Government (5 years), Litigation (5 years), Management skills (7 years), Marketing Strategy (7 years), Project
- Communication skills
- Interviewing
- Software troubleshooting
- Microsoft Powerpoint
- Medical Coding
- Data analysis skills
- ICD-9
- Six Sigma
- Documentation review
- Microsoft Excel
- Direct sales
- Data collection
- Outpatient
- Medical Office Experience
- Program Management
- Legal research
- Patient Care
- Financial Management
- Management
- CRM Software
- Business Consulting
- Medical research, health policy, health laws, FDA rules and regulations, health population monitoring and data collection (3 years)
- Insurance (7 years), business (10 years), computer science (8 years), Legal Terminology (4 years), insurance law
- Quality assurance
- Microsoft Word
- EHR systems
- Mental Health Counseling
- AI
- HIPAA
- Presentation skills
- Legal Research
- PTSD Care
- Medical Records
- Organizational skills
- Budget Management (7 years), Business law (10 years), Closing (10 years), Contract negotiations (10 years)
- Leadership
- Phone triage
- Marketing
- Project management
- CPT Coding
- Records management
- ICD-10
- Admissions
- Health promotion
- Health informatics
- Cross-cultural communication
- Policy analysis
- Research expertise
- Research design
- Policy investigations
- Health equity advocacy
- Quantitative analysis
- Policy reviews
- Survey design
- Population health management
- Environmental health analysis
- Resource utilization management
- Biostatistics application
- Qualitative research
- Healthcare policy development
- Data interpretation
- Epidemiological analysis
- Health communication
- Chronic disease management
- Teamwork
- Problem-solving
- Task prioritization
- Basic life support for health care providers (BLS)
- Substance abuse prevention
- Nutrition education
- Scientific terminology
- Grant writing
Accomplishments
- Phi Kappa Phi March 2025
- An honor society that honors students' leadership and academic achievements.
- Golden Key International Honour Society, April 2023, Awarded for academic and leadership excellence and awarded only to the top percentile rankings. Lifetime Member
- Alpha Sigma Lambda Honor Society March 2023 Faculty and College Dean(s) awarded for excellence in all academic areas, and servant leadership. Lifetime member,
- American College of Healthcare Executives (ACHE), January 2023. An organization that offers leadership and innovation training to today's healthcare leaders across diverse healthcare sectors.
- National Society of Leadership and Success, November 2021, Awarded for academic excellence and servant leadership.
- Mercer University Dean's List December 2020 Awarded for maintaining a 4.0 GPA. 2020-2025. I have received this award for all the semesters that I completed eight to ten semester hours: volunteer, Member, TMJ Association, January 2017. Medical advocacy organization on a national scale working with the NASEM, FDA, NIH, and private and public research entities to improve the quality of life, medical care, and access to care for patients and caregivers impacted by TMJ disorders and diseases. Chosen to speak, present, and participate before the National Academies of Sciences, Engineering, and Medicine TMD Study Committee. Fellow, Claims Litigation Management Alliance, January 2013, Premier industry recognition and alliance of top claims litigation professionals and litigators.
- National Dean's List August 2006 Awarded for academic excellence.
- National Beta Honor Society, April 1996, Excellence in all academic areas, including community leadership.
Affiliations
- American College of Healthcare Executives October 2022 to Present This is an exciting organization that works to educate and support future healthcare leaders to be a part of the dynamic and ethical leadership shift that today's healthcare systems/organizations so desperately need. They align with my goals of servant leadership to the suffering.
- Popular Culture Association (PCA) October 2021 to Present
Certification
- CCMA Certification through NHA, January 2024 to January 2026. Certified Clinical Medical Assistant Skillsets include patient history, direct care, insurance, occupational medicine, urgent care, and occupational medicine/ DOT exams.
- Driver's License 2015 to 2026
- CPR Certification July 2023 to July 2025 Adult and Pediatric CPR/First-Aid and AED
- GA Property and Casualty Resident Agent December 2015 to December 2023 Personal and Commercial Lines for Property and Casualty License No. 3053659
Interests
Timeline
Certified Clinical Medical Assistant (CCMA) Extern
Concentra
11.2023 - 12.2023
Patient Advocate and Navigator
UnitedHealth Group
08.2021 - 12.2022
Academic Paper Author, Gender Patterns in Medicine
Mercer University College of Professional Advancement
01.2021 - 12.2021
Public Health Analyst Research Project
National Academies of Sciences, Engineering, and Medicine
02.2019 - 12.2019
Public Health Analyst Volunteer
TMJ Association
03.2018 - 02.2025
Claims Associate Complex Bodily Injury Auto Segment
State Farm Mutual Automobile Insurance Company
03.2017 - 02.2019
Volunteer Counselor, Listener
Seven Cups of Tea
11.2016 - 02.2020
Insurance Field Agent Consultant /Business Model Management
American Family Insurance
08.2016 - 12.2016
Sales Consultant/ Agent Personal and Commercial Lines/Assistant Manager
First Acceptance Corporation
11.2015 - 08.2016
Claims Adjuster for SE/MW /Claims Analyst
GEICO Regional 3 & 9 Office
01.2013 - 03.2015
Sales and Marketing Professional/Events Coordinator
Chick-fil-A
11.2011 - 01.2013
Customer Service Representative, Donations Coordinator
American Kidney Services
05.2011 - 12.2011
Sales And Marketing Specialist/ Mc Cafe' Trainer/Product Pilot Launcher
McDonald's Corporation
02.2009 - 02.2011
Administrative Assistant/ Office/Customer Service Manager
Dee Dee's Treasures and Thrift
08.2007 - 08.2010
Office manager/ Customer Service Representative
Jim Anderson Pest Control Service
06.2001 - 06.2007
High school or equivalent - Advanced business law, mathematics, linguistics
Faith Academy
Technical Certification - Certified Clinical Medical Assistant, CCMA
Stepful Healthcare Training
Certification - Claim Basics 4th Edition, Flood Insurance Cert. Legal Doctrines, Retirement Planning including IRAs, Anti- Money Laundering: Suspicious Activities and SARs, Ethics in Finance, Fiduciary Duty, Insurance including claims handling
Kaplan University School of Financial Education
Continuing Education - Insurance, Ethics, Legal
Better Insurance Education Insurance School
Lean Six Sigma Yellow Belt - business
GEICO University
Diploma - Performing Arts, Choreography, ballet, jazz, tap
Dance Academy
Bachelor's - Healthcare Leadership, Human Services Specialization, Pre-Medicine Coursework
Mercer University
Links
- Http://www.linkedin.com/in/kimsthebestchoice
- Https://ballet23b5.wixsite.com/battleonyourknees?fbclid=IwAR23rGDCk1cTVTTUF8bkgTmlNFiP_R3JKB1JBRW-6HOukF-Tn4qQ6U0fqjc
Awards
Phi Kappa Phi March 2025 An honor society that honors student's leadership and academic achievements., Golden Key International Honour Society April 2023 Awarded for academic and leadership excellence. Awarded only to the top percentile rankings. Lifetime Member, Alpha Sigma Lamda Honor Society March 2023 Faculty and College Dean(s) awarded for excellence in all academic areas, and servant leadership. Lifetime member, Member, American College of Healthcare Executives (ACHE) January 2023 An organization that offers leadership and innovation training to today's healthcare leaders across diverse healthcare sectors., National Society of Leadership and Success November 2021 Awarded for academic excellence and servant leadership., Mercer University Dean's List December 2020 Awarded for maintaining a 4.0 GPA. 2020-2025. I have received this award for all the semesters that I completed eight to ten semester hours., Volunteer, Member, TMJ Association January 2017 Medical advocacy organization on a national scale working with the NASEM, FDA, NIH, and private and public research entities to improve the quality of life, medical care, and access to care for patients and caregivers impacted by TMJ disorders and diseases. Chosen to speak, present, and participate before the National Academies of Sciences, Engineering, and Medicine TMD Study Committee., Fellow, Claims Litigation Management Alliance January 2013 Premiere industry recognition and alliance of top claims litigation professionals and litigators, National Dean's List August 2006 Awarded for academic excellence., National Beta Honor Society April 1996 Excellence in all academic areas including community leadership.
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