Mi-Amber Whitehead
Aurora ,IL
Summary
A seasoned Claims Manager from Oncourse Home Solutions, I excel in claims analysis and fostering team collaboration. My leadership significantly enhanced client satisfaction and operational efficiency, achieving streamlined claims processing and reducing fraud. With a focus on quality assurance and effective communication, I drive continuous improvement and team performance.
Overview
11
11
years of professional experience
Work History
Claims Manager
Oncourse Home Solutions
09.2013 - Current
- Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
- Enhanced customer satisfaction with timely and accurate claims reimbursement resolutions.
- Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
- Managed a team, providing coaching and performance feedback for improved productivity.
- Handled claims consistent with corporate policies, procedures, best practices.
- Improved claims processing efficiency by implementing streamlined workflow procedures.
- Developed training materials to ensure consistent handling of claims across the department.
- Conducted thorough investigations of complex claims, gathering evidence to support decision-making processes.
- Mentored new hires on company policies/procedures enabling them to quickly become proficient in managing claims.
- Implemented fraud detection measures, minimizing financial losses due to fraudulent activities.
- Reduced claim disputes by enforcing strict adherence to policy terms and conditions..
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Cross-trained existing employees to maximize team agility and performance.
- Controlled costs to keep business operating within budget and increase profits.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Streamlined workflows by identifying bottlenecks in existing systems and implementing appropriate solutions.
- Coordinated with IT department to upgrade technology infrastructure, and enhancing operational efficiency.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Defined clear targets and objectives and communicated to other team members.
Education
Associate Of Applied Business - Entrepreneurship
Southern New Hampshire University
Hooksett, NHDiploma -
East Aurora High School
Aurora, IL05.2001
Skills
- Claims analysis
- Policy Interpretation
- Claims investigation and research
- Investigation techniques
- Procedure Implementation
- Claims Auditing
- Planning and Organization
- Team motivation
- Claims Processing
- Team Management
- MS Office Suite
- Performance monitoring
- Quality Assurance
- Financial Acumen
- Teamwork and Collaboration
- Problem-Solving
- Customer Service
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking
- Claims Investigation
- Multitasking Abilities
- Organizational Skills
- Customer service and support
- Team Leadership
- Team Collaboration
- Decision-making skills
- Active Listening
- Effective Communication
- Decision-Making
- Relationship Building
- Task Prioritization
- Self Motivation
- Professionalism
- Payment Processing
- Professional Demeanor
Timeline
Claims Manager
Oncourse Home Solutions
09.2013 - Current
Associate Of Applied Business - Entrepreneurship
Southern New Hampshire University
Diploma -
East Aurora High School
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