As a dedicated Senior Claims Recovery Specialist with extensive experience in healthcare subrogation, I manage a high-volume caseload of over 800 files, ensuring optimal recoveries for health plans. My expertise lies in leveraging health plan contracts and applying legal principles to secure the best possible outcomes. By analyzing complex cases and collaborating with various stakeholders, including plan members, attorneys, and insurers, I ensure that the health plan’s interests are protected while maintaining a strong focus on compliance and client satisfaction.Key strengths include: • Comprehensive knowledge of healthcare subrogation laws and policies • Expertise in contract analysis and interpretation • Proven ability to negotiate and maximize recoveries • Efficient case management with attention to detail and timelinessI am passionate about streamlining recovery processes and driving financial results, all while maintaining integrity and transparency in every claim I handle.

Managing a case load of over 600 files in situations where health coverage is secondary to any third party. Investigating and pursuing every potential source of recovery, providing prompt and courteous customer service and educating members dealing with stressful situations arising from their third party liability claims.

Used effective classroom management skills to maintain order in classrooms of up to 30 sixth through twelfth grade students and ensured productivity in the absence of the full-time teacher.

Consulted with each client to identify their specific goals and assisted them in choosing the services or products that would help them to achieve those goals. Met daily sales goals by actively promoting products and services. Manager-on-duty independently responsible for store operations including taking phone calls, troubleshooting problems with client accounts, and ensuring completion of daily tasks.

Conducted four discussions or presentations weekly across campus on behalf of the university’s Wellness Center to promote risk reduction and improve public health among students at Eastern Kentucky University. Worked independently or with a group of other CPEs to create and improve programs for presentation to all types of student groups (including freshmen orientation classes, registered student organizations, and public events open to anyone).

Used referral skills to help multicultural residents visiting the center find services in our area that addressed their needs. Created reports of Title VI violations for Lexington-Fayette Urban County Government. Managed meeting spaces and assisted groups holding cultural events at the center. Attended meetings between multicultural affairs agencies to address cross-cultural issues in Kentucky.

Providing efficient and friendly service to customers shopping in the Richmond store at checkout in traditional check-lanes as well as providing logistical support and service to customers in self-checkout areas.

Seasonal employment at Dow Corning, Carrollton KY site. Supplied lab technicians with support to carry out their work most efficiently. As QA Co-Op I was responsible for parcel distribution within the QA lab, filing of tested samples of product for 2-year retention period, weekly inventory of lab supplies. As part of the maintenance department I worked on a team of my peers to complete large painting/labeling projects and maintaining landscaping around the site.