Description
SUMMARY Results driven Management professional focusing on staff development in the arena of Claims Processing, Payment and Auditing. Exceeding expectations in Claims Quality, Claims Production and reduction of Claims Inventory. ACCOMPLISHMENTS * Over 20 years in Claims Processing, Payments and Claims Auditing * Claims Management, Supervision and Training to achieve maximum staff potential * Led teams ranging from 5-23 Associates, ranging from Data Entry to Supervisors * Recognized for reducing Claims Inventory from 14 business days to 4 business days * Creation of Policy and Procedure for Long Term Care Managed Care Claims Staff * Instituted programs to focus on processing that reduces inventory increases quality and doubles production * Solid fraud identification strategies instituted in staff to reduce fraudulent payments * Key player in multiple data base company conversions * Reconciled over $2.5 million in monthly recoveries