نبذة عني
Aspiring Data Scientist/ Analyst with training and expertise in all aspects of collecting, translating, visualizing, and drawing insights from complex sets of data to help solve organizational problems and challenges
الخبرة
Senior Benefits Specialist
• Process 200-400 claims per day maintaining all metrics at 100%
• Implemented process improvement claim notifications resulting in reduction of payment errors made during processing
• Restructured processing guidelines into new manual to reduce errors
• Reduced reinsurance fines by analyzing target claims
• Analyzed system issues to improve performance
Senior Benefits Specialist
Process 200-400 claims per day maintaining all metrics at 100%
Implemented process improvement claim notifications resulting in reduction of payment errors made during processing
Restructured processing guidelines into new manual to reduce errors
Reduced reinsurance fines by analyzing target claims
Analyzed system issues to improve performance
Team Lead/SME/Senior Benefits Specialist
Processed and adjusted medical claims on various systems over multiple projects meeting all required metrics
Supervised teams of 15+, maintaining all reports regarding attendance and progress
Provided coaching and spotting trends resulting in higher metrics being met
Trained new hires in processes/navigation
Maintained metrics of 100+ claims per day in production and processing
Enabled ability to be cross trained resulting in reducing backlog by 70% across departments
Troubleshooting on network/internet issues offering solutions, including writing training guides/processes
Set up of VoIP equipment via chat/phone resulting in fewer downtime hours