Welcome to my LinkedIn profile!I am an accomplished Dental Clinical Review Support Specialist II with expertise in dental claims analysis, X-ray evaluation, and patient history review. In my current role, I consistently exceed performance goals and quality benchmarks, including a remarkable 99.5% audit accuracy, demonstrating my commitment to accuracy and precision.Working within Sun Life’s DentaQuest UM department, I specialize in assessing Medicare, Medicaid, and Sun Life Commercial dental claims, ensuring accurate, timely support for dental providers and their patients. My skills span dental software systems, Windward, the Microsoft Office Suite (Excel, Word, PowerPoint, Outlook), and advanced digital tools like OverJet AI technology. Selected to be part of a core team testing OverJet AI, I’ve contributed valuable feedback that has strengthened our claims processing capabilities, positioning me at the intersection of dental expertise and technology.I’m passionate about fraud prevention and excited by opportunities to use my knowledge in Fraud Investigation/Prevention within the dental insurance industry. I bring a comprehensive skill set in problem-solving, analytical thinking, and cross-team collaboration, all of which support my mission to protect the integrity of dental coverage and enhance operational efficiencies.In 2024, I expanded my role by joining the Sun Life Commercial Business Unit Team, working effectively in the FIFO queue and managing follow-ups. This significant milestone further developed my administrative skills and deepened my impact on client-focused care.A dental professional and AI enthusiast, I look forward to opportunities where I can drive innovations that support providers, improve patient outcomes, and streamline processes. Thank you for visiting my profile! I’m eager to connect with others who are passionate about advancing dental care and operational excellence.
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