Nathan Luistro
Gilbert,AZ
Summary
I am a loyal employee, hard working and always striving for excellence in all that I do, big or small. I am a quick learner with a high attention to detail. I am also results-driven and highly organized, but my true passion is helping people, both members and also co-workers if necessary. I am all about being a team player. My areas of expertise include Microsoft Excel / Google Sheets, and the ability to quickly learn the tools necessary to achieve success with a specific task or job function as a whole. I am very skilled with Google products such as sheets and docs; I use Google calendar on a daily basis to keep my schedule organized.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Insurance Operations Claims Specialist/Expert
Oscar Health Insurance
03.2022 - Current
- Take on or seek out projects that are focused on the overall improvement of a given workflow or process
- Ask the right questions under the Define phase of the DMAIC process to keep things moving in a forward direction of the projects to help better support the Claims Production team at Oscar
- Coordinate cross-functional teams to achieve project objectives and meet deadlines.
- Manage multiple projects simultaneously, ensuring timely completion and high-quality output.
Insurance Operations Claims Processor
Oscar Health
08.2019 - 03.2022
- Process Single Case Agreement holds and issues with urgency and attention to detail in order to remain compliant with timely processing guidelines
- Constantly on the lookout for any ways that we can improve the workflows to help better serve our providers and members.
Claims Processor
Logisticare Solutions LLC
09.2018 - 08.2019
- Responsible for processing emergency claims billed to the company in a timely manner with a high attention to detail to ensure the transportation provider receives the appropriate payment and also to ensure any errors are immediately addressed
- Perform special projects for my direct supervisor and also the General Manager of the office such as create Excel Spreadsheets, help solve computer issues around the office when needed, etc.
Claims Liaison
Logisticare Solutions LLC
07.2017 - 09.2018
- Provided top of the line customer centered care while taking inbound and making outbound calls to assist members with receiving their money provided by the government benefit on their insurance
- Assisted transportation providers with any billing questions and advised when payment was scheduled to go out.
Education
High School Diploma -
Christian High School
O'Fallon, MO2012
Skills
- Cross-functional Collaboration
- Problem Solving
- Process Improvement
- Data Analysis
- Creative Thinking
- Stakeholder Engagement
- Project Management
Certification
Google Data Analytics Certificate
Issued October 2023
Credential ID TN6K4P4C3SMX
Timeline
Insurance Operations Claims Specialist/Expert
Oscar Health Insurance
03.2022 - Current
Insurance Operations Claims Processor
Oscar Health
08.2019 - 03.2022
Claims Processor
Logisticare Solutions LLC
09.2018 - 08.2019
Claims Liaison
Logisticare Solutions LLC
07.2017 - 09.2018
High School Diploma -
Christian High School
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