Collaborative leader partners with coworkers with a history of meeting company goals utilizing consistent and organized practice. Eager to contribute to team success and further develop professional skills. Interested in applying these skills and willing to learn new tasks to gain more experience in Managed Health Care.
· In recognition “HITTING THE MARK” for the performance target Incentive Bonus Program for Quality and Productivity from 2001-2006.
· 97 - 100% accuracy rating for the years of 1998 - present.
· Dec 2002 - Feb 2003, November 2005 helped Quality Control Dept.
· May 2003 - July 2003, April 2004 helped Special Project Dept.
· Dec 2003 - Jan 2004 HEDIS Project - calling Members to encourage them to follow-up on their visits and sent requests to UM for Authorization to be approved for their yearly exams.
· May 2005 - Promoted to the Research and Resolution Unit/PDR Dept, trained new Claim Examiners II on how to process PCP, Radiology, Surgical Pathology and Lab claims.
· December 2012 - Promoted to PDR.
· January 2018 - present - received recognition Bravo Awards for Training, Performance, Integrity and Collaboration.