SAMANTHA WARDEN
New York,NY
Summary
Knowledgeable Risk Management professional with comprehensive background in claims management and loss analysis. Proven track record of effectively navigating complex claims cases and providing solutions to mitigate loss trends through data analysis and claim management.
Overview
14
14
years of professional experience
Work History
Senior Client Claims Advocate
Healthcare Risk Advisors
01.2016 - Current
- Assist providers and clients with problems and questions regarding claims. Advocate for my client with the carrier in order to ensure the best possible outcome of coverage and settlement.
- Determine covered insurance losses by studying provisions of policies or certificates, along with any exclusions.
- Maintain detailed records of all claim activities, including acknowledgements, coverage positions, and notes about conversations with claimants or representatives.
- Review and analyze insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Organize information by using spreadsheets, internal claim systems, and databases.
Loss Control and Training Specialist
Healthcare Risk Advisors
01.2013 - Current
- Monitored claims data to identify trends and develop proactive strategies for loss mitigation.
- Conducted comprehensive assessments to identify risk exposures and recommend mitigation strategies.
- Implement both individual and group training for executive and loss prevention personnel.
- Collaborate with subject matter experts, vendors and third-party training providers to support learning and development strategy.
Executive Assistant
Healthcare Risk Advisors
10.2011 - 01.2013
- Prepared reports, presentations, agendas, minutes, and other documents as needed by the executive staff and clients.
- Performed data entry tasks into various software programs including MS Excel spreadsheets as well as data analysis for presentations given by executives.
- Organized and managed complex calendar of appointments, meetings, and travel arrangements for executive team.
Education
Bachelor of Arts - Communications
North Carolina State University
Raleigh, NCSkills
- Proficient in Microsoft Office
- Claims evaluation
- Effective verbal communication
- Regulatory analysis
- Record maintenance
- Data-driven decision making
Timeline
Senior Client Claims Advocate
Healthcare Risk Advisors
01.2016 - Current
Loss Control and Training Specialist
Healthcare Risk Advisors
01.2013 - Current
Executive Assistant
Healthcare Risk Advisors
10.2011 - 01.2013
Bachelor of Arts - Communications
North Carolina State University