Michael Nestick
Fairview,Texas
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
11
11
years of professional experience
Work History
Medical Claims Specialist
State Farm Insurance Company
01.2022 - Current
- Manage large volume of complex claims (over 120+ individual claims) and meet specific customer needs
- Reviewed insurance policies to determine coverage
- Investigated, evaluated and settled claims while applying technical knowledge and human relation skills
- Manage customer expectations and using client-centered scheduling, ensure needs of the customer are met in appropriate amount of time
- Achieve above average results for clients and customers, being centered and having strong negotiation skills to get equipment and modifications to homes done in a timely manner
- Research best practices and adjust with changing Michigan Stature, pivoting handling to adapt to changes to law and ensure compliance
- Quick adaption and problem solving of complex projects and lead others in adapting new programs day 1 to ensure clients and customers are given prompt service and maximize efficiency.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
Medical Claims Associate
State Farm Insurance Company
01.2019 - 01.2022
- Review policies for coverage and determine order of priority for those involved in accidents
- Maintained claim file records and bookkeeping
- Maintained highest task completion in segment for 3 years.
- Contributed to team success by supporting colleagues in handling large caseloads during peak periods, ensuring consistent productivity levels.
- Assisted new hires in developing their skills by sharing knowledge, answering questions, and offering guidance on best practices within the Medical Claims field.
- Contributed to company-wide initiatives targeting process improvement opportunities within the medical claims function.
- Served as a reliable point of contact for escalated claim issues, providing expert guidance to colleagues and clients alike on resolution strategies.
- Reduced claim denial rates by accurately interpreting and applying policy guidelines and benefit coverage limitations.
Makerspace Director
SPARK! Dallas
06.2018 - 01.2019
- Implemented multiple education systems, building program from ground up and training staff to run programming for general public
- Solicited donations and recruited large groups of students for Makerspace
- Maintain all equipment including 3D Printers, Milling Machine, Lathe Machine, pottery wheel, pottery kiln, grinders, sanders, vinyl cutter and other emerging technologies
- Ensured user supervision during shop hours
- Manage supplies and material stock for users while tracking use of equipment and maintain equipment use logs and supplies for budgeting purposes
- Train and manage team of local staff and students on different machinery
- Oversaw exhibit installation/renovation while aligning with mission of space and managing donated collection of artifacts and installations
- Lead interest-driven activities for guests and students signed up for programming.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
Operations Manager/Education, Outreach and Programs Specialist
Sci-Tech Discovery Center
05.2013 - 07.2018
- Manage all day-to-day operations of museum, including Museum Store and Visitor Services staff, as well as building and exhibit maintenance
- Formulate strategy to improve performance of all staff (educational, janitorial and volunteers) to maximize efficiency and maintain quality control for guest and customer experience within museum
- Provide and ensure exceptional customer service to all guests and visitors
- Point of contact for all events and
- Successfully renovate programming and operations to become more efficient and increasing traffic flow into museum with educational programming and exhibit installations that were driven by public interest
- Renovated outdated educational programs and re-aligned them to fit Texas Standards, increasing attendance by 20% per year
- Oversee Sci-Tech’s daily operations including coordination of paid staff and volunteers (Recruitment, training, communication and retention), successfully staffed self-sufficient weekend staff that boosted party revenue by 40% in 2 years
- Involved heavily in outreach programming, successfully increasing range of programs to Middle School and High School in North Texas area.
- Enhanced community engagement by developing and implementing strategic outreach initiatives.
- Implemented feedback mechanisms to continuously evaluate impact of outreach programs on target populations.
- Cultivated a positive work environment that promoted teamwork and collaboration across departments.
Education
Bachelor of Science - Educational Evaluation And Research
Texas Woman’s University
Denton12.2016
Associate of Science - Environmental Science
Collin College
McKinney, TX05.2011
Skills
- Educational programming
- Security Protocols
- Donor Relations
- Facility Maintenance
- Historical Research
- Membership management
- Fundraising expertise
- Exhibition development
- Curatorial Knowledge
- Design thinking
- Small Group Instruction
- Curriculum Development
Languages
Spanish
Limited Working
Timeline
Medical Claims Specialist
State Farm Insurance Company
01.2022 - Current
Medical Claims Associate
State Farm Insurance Company
01.2019 - 01.2022
Makerspace Director
SPARK! Dallas
06.2018 - 01.2019
Operations Manager/Education, Outreach and Programs Specialist
Sci-Tech Discovery Center
05.2013 - 07.2018
Bachelor of Science - Educational Evaluation And Research
Texas Woman’s University
Associate of Science - Environmental Science
Collin College
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