VINCENT OLIVER
Bentonville,AR
Summary
Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Well-versed in working with multiple state and federal compliance agencies in the healthcare industry with licensing and policy implementation. Skilled in adapting to new situations and challenges to best facilitate company growth and goals.
Overview
5
5
years of professional experience
Work History
Senior Analyst, Claims Litigation
Walmart
Bentonville, AR
09.2024 - Current
- Manage the highest level of complex claims in the state of New York, while continuously collaborating with attorneys and other analysts to ensure we close claims at the lowest possible exposure.
- Strives to provide expertise to others within the organization while taking on several SME duties, all while co-owning a litigation resolution project on aged claims in New York.
- Dropped overall pending claims from the upper 90s to a steady 80, while being in the running for most settled claims. Have a 98.3% EDI acceptance rate since January 1, 2024.
Case Manager II, Worker's Compensation
Walmart
Bentonville, AR
12.2022 - 09.2024
- Surpassing expected case load metrics with time of closure, attorney involvement, etc. for the state of New York
- Taking on additional responsibilities of being a ClearSight SME, EDI SME and other side projects within WCS
- Working towards obtaining more Case Manager III level work to show proficiency in role and ability to handle more difficult and complex work
Case Manager I, Worker's Compensation
Walmart
Bentonville, AR
11.2021 - 12.2022
- Effectively managed an above average caseload (100+) for the state of Massachusetts shortly after finishing the training period with the state of Arkansas
- Monitored and reviewed claim specifics to determine quick resolution plan of action for claim closures in a state with lifetime medical and non-directed care
- Consistently progressed in more difficult and complex claims to ensure better understanding of the state W/C laws and to be accountable for my fellow team members
Vice President of Operations
Fountain Park Healthcare
Conroe, TX
08.2019 - 02.2021
- Brought substantial operational improvements by creating and reworking policies and procedures inspected by governing agencies
- Bridged relationships with executive leadership to interconnect revenue generation initiatives with day-to-day operations performed by all employees
- Coordinated work across departments (located in several states) to keep teams on track with company goals
Education
MBA -
Southern Arkansas University
12.2014
BBA - Marketing
Southern Arkansas University
05.2013
Skills
- Operations Oversight
- Process Optimization and Improvements
- Performance Data Analysis
- Concise Verbal and Written Communication
- Heavy Task Management
- Regulatory Compliance
- Cross-Functional Collaboration
- Flexibility in High Pressure Situations
Timeline
Senior Analyst, Claims Litigation
Walmart
09.2024 - Current
Case Manager II, Worker's Compensation
Walmart
12.2022 - 09.2024
Case Manager I, Worker's Compensation
Walmart
11.2021 - 12.2022
Vice President of Operations
Fountain Park Healthcare
08.2019 - 02.2021
MBA -
Southern Arkansas University
BBA - Marketing
Southern Arkansas University
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