Michelle Dawson
118 Maggie's Pt. ,GA
Summary
Experienced Stop Loss Consultant skilled in client oversight, issue resolution, and presentation. Demonstrated multitasking and project management abilities. Possesses extensive business knowledge within the field.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Stop Loss Consultant
Gravie
Minneapolis, MN
07.2023 - Current
- Suggested innovative tool for collecting and analyzing data on potential high-cost claimants
- Developed and implemented customized strategies to meet underwriting needs.
- Analyzed complex information from multiple sources to identify patterns or trends that could be used as a basis for cost projection.
- Evaluated existing systems and processes against industry best practices for efficiency enhancement purposes.
- Reviewed existing policies and procedures and suggested improvements where necessary.
- Coordinated activities among internal departments.
- Presented findings from research studies at conferences or seminars to raise awareness about various topics related to the Stop Loss industry.
- Provided advice on operational processes.
- Maintained knowledge of current Stop Loss industry advancements through continuous learning
Sr. Stop Loss Consultant- Team Lead
Unum
Chattanooga, TN
06.2021 - 07.2023
- Coordinated meetings to align clinical and underwriting teams on project scope
- Contributed to the creation of advanced analysis techniques
- Provided advice on operational processes and other areas needing improvement.
- Collaborated with internal clients to develop action plans to address specific challenges and objectives.
- Identified needs of the underwriting department promptly and efficiently.
- Maintained positive working relationships with fellow staff and management.
- Identified areas for improvement in the clinical review process.
Sr. Stop Loss Medical Consultant
Symetra
Bellvue, WA
05.2015 - 03.2021
- Analyzed risk for potential high-risk claimants on new business and renewal groups.
- Communicated effectively with underwriters and other departments.
- Gathered and analyzed information to determine risk acceptability.
- Leveraged various data tools to analyze and interpret information
- Collaborated with multiple departments to enhance service bundling for employer groups.
- Worked with colleagues to review, accept or deny new and renewal business.
- Maintained up-to-date knowledge of treatment guidelines.
- Assisted in second opinion reviews.
- Trained incoming staff members
Education
Master of Science - Nursing
American Sentinel University
Denver, COBachelor of Science - Nursing
Chamberlain College of Nursing
Chicago, ILAssociate of Science - Nursing
Central Ohio Technical College
Newark, OHSkills
- Cost Analysis
- Quality Assurance
- MS Office
- Subject Matter Expert
- Goal Setting
- Team Leadership & Development
- Attention to Detail
- Client rapport
- Analytical Thinking
- Reports and documentation
- Processes and procedures
- Problem-Solving
Affiliations
- crocheting
- drawing
- astrology
- art
- reading
Accomplishments
- Graduated Summa Cum Laude from both Chamberlain College of Nursing and American Sentinel University
- Numerous accolades from co-workers and senior management on personal value to company
Certification
- Certified Case Manager
Timeline
Stop Loss Consultant
Gravie
07.2023 - Current
Sr. Stop Loss Consultant- Team Lead
Unum
06.2021 - 07.2023
Sr. Stop Loss Medical Consultant
Symetra
05.2015 - 03.2021
Master of Science - Nursing
American Sentinel University
Bachelor of Science - Nursing
Chamberlain College of Nursing
Associate of Science - Nursing
Central Ohio Technical College
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