Claims Management, Account Oversight and Supervisory Professional

seeking a challenging assignment as a Claim Specialist or Medical Office Manager

  Bachelor of Science in Kinesiology from Texas Wesleyan University; Member, Dean s List and recipient of Dean s Scholarship

  In-depth experience in managing high-volume case load/accounts; continually communicate with involved entities, maintain awareness of crucial surfaced information as well as prevailing regulations and guidelines, and facilitate strong interface between care providers toward the goal of streamlining patient care

  Exceptional oral and written communication skills and well as well-honed strengths in assessing/analyzing data; knowledgeable in all aspects of insurance coverage and Worker s Compensation regulations

  Highly skilled in efficiently conducting all on-boarding actions as well as providing crucial personnel training, coaching and mentoring to assure smooth work flow in support of achieving/surpassing organizational goals

  Outstanding leader with capabilities in working independently or as a strong contributor to team actions and accomplishments; proficient in use of Microsoft Office software; expertly manage physician schedules and workloads

Senior Account Manager and Supervisor, CareReview, Inc., Arlington, TX 2013 - Present

       Effectively manage high-volume caseload and continually maintain currency with all relevant regulations/statutes of Worker s Compensation system while assuring adherence to Quality Assurance directives and processes.

       Hold comprehensive responsibilities for assuring that new hires receive appropriate on-boarding direction/support and manage all training/coaching/mentoring of large personnel staff, with focus on leading team productivity toward meeting/exceeding organizational goals and objectives.

       Provide expert training for peers as well as management personnel on internal system supports and implementation planning; also diligently manage physician schedules/workload assignments, maintain all patient electronic medical files and skillfully facilitate crucial flow of information and communication among involved care providers to ensure highest levels of patient care effectiveness and efficiencies.

Clinic Director, Churchill Evaluation Centers, Arlington, TX 2012 - 2013

       Skillfully oversaw large caseload and diligently organized/maintained all patient medical records while managing physician schedules and examination locations.

       Supported physicians by scrupulously recording detailed notes in patient charts on prognosis, examination activities and results; also carefully assessed claimant condition and functional abilities and served in liaison role to continually ensure effective communication among caregivers in supporting effective and efficient patient care.

Assistant Manager, Eddie Bauer, Southlake, TX 2010 2012

       Steered work performance of unit personnel to ensure compliance with organizational operating procedures as well as providing company services.

       Maintained awareness of developmental needs of staff members and assured the provision of appropriate training.

Co-Manager, Victoria s Secret, Fort Worth, TX 2007 2010

       Provided exceptional support and assistance for unit management in overseeing sales performance of large staff; held responsibilities for assigning wide array of tasks designed to streamline sales productivity as well as unit operations.

Texas Wesleyan University, Fort Worth, TX, Bachelor of Science in Kinesiology, 2009

Member, Dean s List ~ Recipient of Dean s Scholarship

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Company Name

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Dear :

I am currently seeking a challenging assignment as a Claims Specialist (or Medical Office Manager) in your organization and am submitting my current resume for your consideration. I believe my background and expertise gained in multiple relevant assignments well-position me to provide the highest levels of support, direction and leadership for you.

I earned a Bachelor of Science in Kinesiology from Texas Wesleyan University in Fort Worth, and during my ten-year career, beginning in managerial assignments within the retail sales sector, I developed experience in leading staff personnel and overseeing work performance while steering the accomplishment of multiple organizational goals and objectives.

Following work in the retail sector, I gained a position as Clinical Director with Churchill Evaluation Centers in Arlington, Texas, where I was tasked with providing management and leadership in directing services for a large number of patients/cases. I was responsible for providing insightful assistance for multiple physicians, maintaining records and assessing claimants conditions and functional capabilities.

In my current position as Senior Account Manager and Supervisor for CareReview, Inc., in Arlington, I hold comprehensive responsibilities for managing a high-volume caseload while maintaining currency on all prevailing and applicable regulations and statutes that cover Worker s Compensation policies. Additionally I am tasked with conducting multiple activities involved with on-boarding new hires and following-through with ensuring these individuals as well as current personnel receive needed orientation, training, coaching and mentoring. I place strong emphasis on leading team productivity toward reaching and exceeding organizational goals and objectives.

Further, in this role I provide excellent training for peers as well as management personnel regarding internal systems and implementation planning, manage the schedules and workload assignments for physicians, maintain electronic patient records and continually utilize my communicative skills among care providers to ensure that patients receive the highest levels of effective and efficient care.

Throughout my career I have exhibited a commitment to quality and consistent compliance with critical governing directives, standards, policies and procedures. I am confident in my ability to deliver immediate and long-term results and you will find me to be a performance-driven leader and collaborative team player focused on achieving and surpassing goals.

I am eager to discuss how my qualifications match the requirements for this assignment and look forward to interviewing with you at your earliest convenience.

In advance, I thank you for your time and consideration.

Sincerely,

Yyyyyy x. yyyyyy

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