Jeff Lawmaster Email & Phone Number

Tampa, Florida, United States

Tampa, Florida

Tampa, Florida

Tulsa, Oklahoma

Supervise multiple departments including claims, customer service, membership and clerical. Conduct interviews to find ideal candidates. Terminate employees when needed. Mentor and coach employees and well as present personalized monthly feedback to each individual. Monitor all aspects of the teams quality, production and overall performance. Organize weekly team meetings to inform staff of any procedure changes as well as lead team building activities to promote a supportive and productive work environment. Receive and resolve escalated inquires via phone or email. Attend daily conference calls consisting of multiple levels of management that pertain to a plethora of topics. Collaborate closely with executive leadership on various high priority projects. Compile, analyze and distribute reports. Lead and inspire employees daily.

Tulsa, Oklahoma

Reviewed all systematic issues that interfered with the daily processes of the full service unit which includes claims processing and customer service. Loaded accums for new members transferring from other insurance providers. Aided with resolving claims displaying prompts or error messages that could not be resolved by normal processing measures. Facilitated and led weekly multi-unit meetings. Collaborated with other departments to resolve complex issues. Worked on projects that were in the process of being implemented to correct issues that were having a negative effect on the system. Tested, updated and removed claim locks according to benefit changes. Ran claims thru the robotic desktop processor application. Attended vital weekly meetings for implementation of new groups.

Tulsa, Oklahoma

Reviewed claims and advised examiners and processors on ways to resolve conflicts related to specific error messages. Loaded new providers to the provider database, as well as resolved any discrepancies with established providers. Processed and input provider applications. Loaded new provider groups and completed any miscellaneous tasks as assigned.

Tulsa, Oklahoma

Provided superior customer service. Responded to written and verbal inquiries in a timely manner. Verified eligibility and determined benefit levels according to the appropriate contract guidelines. Assisted in reviewing prior authorizations for medical and surgical services. Approved prior authorizations and pended those requiring medical review.

Tulsa, Oklahoma

Served as a subject matter expert for claim processors and examiners. Created and performed detailed weekly trainings for staff in an effort to improve areas of weakness throughout the unit. Created and implemented specific performance improvement plans for individuals. Tested new updates for the claims processing system to ensure no issues arise that could affect current processing procedures. Processed a variety of complex claims that were pended by the processors or examiners due to level of difficulty.

Tulsa, Oklahoma

Processed written and electronic claims including, but not limited to specialty areas such as skilled nursing, coordination of benefits and durable medical equipment. Communicated with providers on claims that needed additional information to ensure they were adjudicated appropriately. Regularly selected to assist with training new classes. Frequently entrusted to head specialized projects for upper management.

Tulsa, Oklahoma

Created reports for multiple units. Tracked valve pressure and equipment quality. Took photos of damaged materials and uploaded into reports to ensure accurate and up to date information at all times. Helped with project management as needed.

Tulsa, Oklahoma

Assisted will all accounts receivable and accounts payable as well as other miscellaneous accounting duties. Tracked over 2,500 drivers in a database system to ensure their insurance information and driver’s card were current and up to date. Processed bills of lading. Helped to create and present valve pressure measurements to senior staff.