Toni Cheek
East Moline,IL
Summary
Results-oriented professional with a diverse background in management, forensic psychology, and medical services. Demonstrated expertise in leading cross-functional teams, managing up to 75 individuals, and executing complex projects within social services, healthcare, and forensic environments. Skilled in crisis intervention, case management, and forensic assessments, with a deep understanding of the legal and ethical dimensions of forensic psychology. Proven ability to drive organizational success through strategic planning, data analysis, and effective communication. Currently pursuing a Doctorate in Forensic Psychology with a focus on Crisis Response.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Pharmacy Benefit Advocate
Tabula Rasa Healthcare Inc.
Moorestown, NJ
05.2024 - 07.2024
- Led the resolution of complex claims, applying analytics to identify discrepancies and ensure compliance with Medicare and Medicaid standards.
- Collaborated with healthcare providers to optimize reimbursement processes, utilizing strong communication skills to educate clients on policy nuances.
- Managed claim overrides and prior authorizations, demonstrating expertise in healthcare compliance and regulatory requirements.
Debt Specialist I
TD Bank NA
Jacksonville, FL
01.2023 - 02.2024
- Strategically recovered $50,000 in outstanding debts, employing financial analysis to uncover discrepancies and mitigate financial risks.
- Managed a portfolio of delinquent accounts, negotiating settlements and coordinating payment plans focusing on ethical and fair practices.
- Utilized data-driven insights to optimize debt recovery strategies, enhancing organizational financial stability.
Child Protective Investigator
Florida Department of Children and Families
Jacksonville, FL
06.2023 - 09.2023
- Conducted forensic investigations into allegations of child abuse, neglect, and abandonment, applying psychological expertise to assess risk and ensure child safety.
- Developed and implemented safety plans, providing expert testimony in court to support legal proceedings.
- Authored comprehensive assessments and case reports, leveraging strong analytical and writing skills to inform decision-making.
Service Advocate III
Florida Blue
Jacksonville, FL
06.2021 - 02.2023
- Managed and verified member medical information, ensuring compliance with federal healthcare guidelines and providing expert guidance to insurance eligibility.
- Assisted in the resolution of complex payment discrepancies, applying analytical techniques to audit and correct overpayment issues.
- Mentored and trained junior advocates, enhancing team performance and service quality.
Senior Operations Administrator
FedEx
Romeoville, IL
10.2019 - 03.2020
- Led operational initiatives, managing quality assurance and safety protocols across a large distribution center.
- Trained and supervised staff, ensuring adherence to organizational standards and optimizing operational efficiency.
- Conducted data analysis and audits, supporting loss prevention and regulatory compliance efforts.
Program Secretary
Children's Home & Aid
Joliet, IL
12.2017 - 09.2018
- Managed administrative functions for a social services program, overseeing case documentation, billing, and compliance with legal standards.
- Coordinated background checks and maintained organized records, ensuring accuracy and confidentiality.
- Provided support to program management, contributing to the development of policies and procedures.
Direct Support Professional
Cornerstone Services Inc
Joliet, IL
03.2017 - 12.2017
- Supported clients with developmental disabilities, implementing individualized service plans and behavior development programs.
- Facilitated transportation and recreational activities, promoting client independence and well-being.
- Maintained detailed records and documentation, ensuring compliance with care standards and legal requirements.
Education
Ph.D. - Forensic Psychology
Walden University
Minneapolis, MN02-2026
Master of Science - Forensic Psychology
Walden University
Minneapolis, MN02-2024
Bachelor of Science - Criminal Justice
Colorado Technical University
Colorado Springs, CO08-2022
Skills
- Crisis Intervention & Management
- Forensic Case Analysis
- Team Leadership & Development
- Healthcare Compliance & Regulation
- Risk Assessment & Mitigation
- Data Analysis & Problem Solving
- Client Relations & Negotiation
- Legal & Ethical Decision-Making
Certification
- Lean Six Sigma White Belt Certified, Management and Strategy Institute
- Project Management Essentials Certified, Management and Strategy Institute
- Child Welfare Protective Investigator-Provisional Credential
Credential Number: CWPI.106921, Florida Certification Board (Expires: 08/24/2024)
Accomplishments
- World Class Performer of 2021 and 2022-Florida Blue
Timeline
Pharmacy Benefit Advocate
Tabula Rasa Healthcare Inc.
05.2024 - 07.2024
Child Protective Investigator
Florida Department of Children and Families
06.2023 - 09.2023
Debt Specialist I
TD Bank NA
01.2023 - 02.2024
Service Advocate III
Florida Blue
06.2021 - 02.2023
Senior Operations Administrator
FedEx
10.2019 - 03.2020
Program Secretary
Children's Home & Aid
12.2017 - 09.2018
Direct Support Professional
Cornerstone Services Inc
03.2017 - 12.2017
Ph.D. - Forensic Psychology
Walden University
Master of Science - Forensic Psychology
Walden University
Bachelor of Science - Criminal Justice
Colorado Technical University
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