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Experienced healthcare professional with over 7 years of experience in claims processing, benefits verification, and patient support. Skilled in reviewing medical documentation, ensuring compliance with healthcare regulations, and accurately managing high-volume workloads. Known for strong attention to detail, clear communication, and the ability to work collaboratively across teams to support efficient operations and positive patient outcomes.

Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experienced stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.

Dynamic Healthcare Arbitration and Revenue Cycle Specialist with over 17 years of expertise in denial management, claims dispute resolution, and complex billing disputes. Proficient in documentation review, appeals preparation, and arbitration case analysis, all aimed at facilitating effective dispute resolution. Holds a Master of Health Services Administration and demonstrates advanced proficiency in Epic, Cerner, and Meditech systems, complemented by a thorough understanding of healthcare financial regulations and payer compliance. Results-driven professional committed to enhancing organizational goals through collaboration, adaptability, and exceptional communication and analytical skills.

Experienced Claims Examiner specializing in the property and casualty claims industry, with a strong focus on auto liability claims. Skilled in developing effective objectives and strategies to efficiently settle claims in this specific area. Proficient in compiling, coding, categorizing, and auditing information to accurately process claims. Deep knowledge of the auto liability claims industry, adept at navigating complex claim processes and ensuring timely resolutions.

Shadiamond Wilson

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Arbitration Specialist

Operations Manager — Vehicle-Sharing Fleet

Eligibility Analyst

Claims Associate

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Associate of Science - Legal Studies

High Diploma -

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Arbitration Specialist

Eligibility Analyst

Operations Manager — Vehicle-Sharing Fleet

Claims Associate

High Diploma -

Associate of Science - Legal Studies

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