I am a results-driven professional with over 6 years of specialized experience in the U.S. healthcare insurance sector. My expertise spans the end-to-end lifecycle of claims, including eligibility verification, authorizations, appeals, and complex subrogation recovery.
In my most recent role as a Subrogation Recovery Specialist at Optum, I managed intricate lien requests and settlements by coordinating directly with law firms and insurance carriers. I have a proven track record of handling ERISA documentation—such as Plan Language, Form 5500, and Master Plan Documents (MPD)—while successfully negotiating reduction requests and resolving disputes to achieve favorable client outcomes.
Throughout my career at organizations like Ista Personnel Solutions and Conduent, I have developed a sharp eye for regulatory compliance and process improvement. My background in Psychology provides me with a unique edge in negotiation and communication, allowing me to advocate effectively for patients and navigate high-stakes resolutions with optimism and precision.
