Claims Adjuster

HEALTHCARE SENIOR MANAGER Claims Operations… Process Re-engineering… Call Center Operations… Membership Management… Medicare / Medicaid (Governance) ◘ Senior-level professional offering a unique blend of operations leadership and infrastructure management experience within the healthcare industry. Innate ability to motivate and empower cross-functional teams to optimize productivity and solve problems, resulting in significant improvements to business processes and customer satisfaction. ◘ Strategic thinker who has engineered start-ups, saved tremendous dollars in costs, and facilitated new business. Change agent with strong focus on assessing customer needs and integrating with practical business issues from an operational and technological perspective. ◘ Track record of implementing start-up operations, staff training programs, and compliance initiatives. Diversified experience in member management, call center operations, and claims administration for multi-billion dollar insurance carrier (i.e. public and private). Highly skilled in managing Medicare, Medicaid, and private insurance programs. CORE COMPETENCIES Administration… Business Re-engineering… Government Relations… Budgeting… Key Account Management Start-Up Operations… Claims Management… Performance Metrics… Reporting… Staff Training Programs Project Management… Strategic Planning… Cost Reductions… Call Center Operations… Compliance… Auditing Systems Implementation… Product Management… Market Strategies… Process & Procedure Development

Claims Adjuster

Cherry Hill, NJ