Walid Salameh Email & Phone Number

• Manage and train team of examiners and technical operators to meet operational, financial, and claim requirements.• Analyze business needs and identify new procedures and processes for continuous claims improvement.• Manage and identify the development of new clients to build business and increase profitability.• Perform quality assurance review on complex claims to ensure compliance with audit requirements,service contract requirements, and company policies.• Develop and advise leadership of project progress, milestones, risks, and strategic solutions.• Provide technical and jurisdictional guidance on 1000+ claim reports to effectively adjudicate.• Prepare comprehensive administrative, trend data analysis, and recommendation reports as required.• Manage client and stakeholder relationships to effectively communicate throughout appeal process andpreserve data confidentiality and integrity.• Analyze and approve financial data throughout project lifecycle to ensure accuracy and impact.

• Managed claim resolution with multiple stakeholders and clients throughout process lifecycle.• Analyzed data to identify proper Billing course of action based on requirements.• Triaged claims to identify potential financial loses and minimize expenses.• Reviewed and analyzed complex medical information to ensure regulatory compliance.• Expertise in working with ICD-10 codes and Official Disability Guidelines.

• Managed, analyzed, and approved claims to determine benefits.• Coordinated across multiple project teams to properly assess claims case.• Reviewed and analyzed complex medical information (i.e. diagnostic tests, office notes, operative reports,etc.) to ensure regulatory compliance.• Evaluated and arranged appropriate referral of claims to external vendors.

• Analyzed claim determinations to approve non-complex disability claims and ensure accurate processing.• Triaged claims to ensure client satisfaction while also minimizing further expenses by understanding thetotal loss early in the process.• Determined benefit dues, timely claims payments for workers compensation, Social Security DisabilityIncome (SSDI), and other disability offsets.• Responsible for Handling PFL, FMLA, and Disability Claims for Northwell Health in New York.

Master Of Business Administration - Mba

Master Of Healthcare Administration - Mha

Bachelor Of Science - Bs, Kinesiology And Exercise Science