David Whetstone Email & Phone Number

Las Vegas, Nevada, United States

Ensured the integrity and quality of user-generated content across various social mediaplatforms by adhering to community standards, legal requirements, and organizationalpolicies.Conducted thorough reviews of posts, comments, and messages, swiftly identifying andaddressing inappropriate, harmful, or offensive content to maintain platform safety andpositive user experience.Provided actionable feedback and recommendations to users, helping enhance engagementwhile ensuring compliance with moderation guidelines.Collaborated with internal teams to develop and optimize content moderation strategies,proactively analyzing content trends to prevent potential issues and improve platformgovernance.Maintained a fair and unbiased moderation process, ensuring consistency in decision-makingwhile handling sensitive content across multiple channels.Leveraged strong analytical skills and a deep understanding of social media trends to stay ahead of emerging issues and maintain a safe and welcoming online environment.

Las Vegas, Nevada, United States

Started trading during the COVID-19 pandemic, leveraging newfound free time and interest infinancial markets to build expertise in stock and options trading.Monitor and analyze economic indicators such as GDP growth, unemployment rates, inflationdata, and consumer confidence indices. This data provides insights into market trends andpotential price movements.I stay informed about Federal Reserve announcements, interest rate decisions, and monetarypolicy changes. Understanding how these decisions impact liquidity, borrowing costs, andoverall market sentiment is crucial for making informed trading decisions.Assess market sentiment by analyzing news headlines, earnings reports, and geopoliticalevents. This helps me gauge investor behavior and potential market volatility.Employ technical analysis techniques, including chart patterns, moving averages, and volumeanalysis, to identify entry and exit points for trades. This approach complements myfundamental analysis of economic data.Implement robust risk management strategies, including stop-loss orders and position sizing, to protect my capital and minimize losses in volatile market conditions.

Los Angeles, California, United States

Managed two commercial properties overseeing all aspects of day-to-day operations, tenantrelations, and property performance.Administered leases, negotiated renewals, and handled lease compliance for both properties,ensuring terms met both tenant needs and property owner objectives.Developed and executed property budgets for each site, closely monitoring operatingexpenses and identifying opportunities for cost savings.Coordinated regular maintenance, repairs, and capital improvement projects, ensuringminimal disruption to tenants and maintaining high property standards.Developed strong tenant relationships by addressing concerns promptly, conducting regular check-ins, and facilitating a positive, long-term occupancy experience.

Los Angeles, California, United States

Efficiently collect, organize, and track appeals from various sources to ensure timely and accurate processing.Conducted thorough research and investigation to resolve administrative aspects of appeals incompliance with corporate policies and regulatory requirements.Prepared detailed case files for internal or external review, ensuring all necessarydocumentation is included.Maintained accurate records of all appeals and grievances, tracking progress and resolutionsto ensure compliance with organizational policies, regulatory standards, and strict submissiondeadlines.Documented all complaints, appeals, and resolutions at all levels, including detailednotifications to members and providers.Generated acknowledgment letters, resolution letters, and medical record requests forcomplaints, appeals, and provider disputes.Supported the preparation for audits including DMHC, URAC, and Health Net audits to ensure compliance with industry standard.

Los Angeles, California, United States

Reviews, analyzes and processed non-complex grievance and appeals in accordance withexternal accreditation and regulatory requirements, internal policies and claims eventsrequiring adaptation of written response in clear, understandable language.Applied established guidelines and review tools to conduct extensive research and analysis ofgrievance or appeal issues, focusing on relevant claims and medical records.Determined the appropriate course of action, either approving the grievance/appeal orsummarizing findings for further review by nursing and/or medical staff.Maintained accurate records of all appeals and grievances, tracking progress and resolutionsto ensure compliance with organizational policies, regulatory standards, and strict submissiondeadlines.Served as a liaison between grievances & appeals and/or medical management, legal, and/or service operations and other internal departments.

Los Angeles, California, United States

Managed a high volume of incoming calls from healthcare providers, addressing inquiriesrelated to member benefit information, claim status, and processing issues.Provided detailed updates on claims, including whether claims had been paid, processed, orrequired additional information to facilitate processing.Maintained and tracked aged pending inventory, ensuring timely follow-up and resolution ofoutstanding claims.Consistently met performance targets while ensuring accuracy and customer satisfaction inhandling provider requests.Selected to serve as a department lead to support team goals and improve operationalefficiency by minimizing departmental handle time.Acted as an escalation point, intervening during lengthy calls between Customer ServiceRepresentatives (CSRs) and providers to resolve issues promptly and prevent delays.Collaborated with cross-functional teams to address complex provider inquiries and ensure the seamless resolution of claims-related issues.

Criminal Justice/Law Enforcement Administration

Activities and Societies: Baseball Athletic Scholarship Recipient (Full Scholarship)

High School Diploma

General Studies

Activities and Societies: 2009 Western State South All-Conference Baseball Team 2010 Western State South All-Conference Baseball Team