Care Advocate, National Aba Team
CurrentDetermines appropriate levels of care with 98% accuracy for utilization management decisionsRecommends quality of care improvements, leading to clinically significant modifications in 20% of treatment requestsAdministers benefits and provides excellent customer service with 98% satisfaction and 99% resolution net promoter scoresOptimizes task prioritization for a broad range of responsibilities while maintaining 102% of expected productivity Pilots new initiatives and takes on specialized tasks such as the member support team, claims reconsiderations, and retrospective reviews