Олександр
Operations, Claims Specialist
- Вид зайнятості:
- повна
- Вік:
- 27 років
- Місто проживання:
- Вінниця
- Готовий працювати:
- Вінниця, Дистанційно
Контактна інформація
Прізвище, контакти та світлина доступні тільки для зареєстрованих роботодавців. Щоб отримати доступ до особистих даних кандидатів, увійдіть як роботодавець або зареєструйтеся.
Отримати контакти цього кандидата можна на сторінці https://www.work.ua/resumes/12119155/
Досвід роботи
Pipeline Manager
з 01.2025 по нині
(1 рік 11 місяців)
Roofing company in Jax, FL, Remote (Construction, architecture, interior design)
- Pipeline Oversight: Manage the end-to-end construction repair and replacement pipeline from lead generation to final carrier payment, optimizing key metrics such as conversion and approval rates.
- Claim & Supplemental Management: Streamline communication with insurance companies regarding property claims and post-work supplementals, ensuring strict adherence to legal timelines.
- Cross-Functional Leadership: Supervise an assistant, coordinate project managers, crew scheduling, and sales teams using Monday.com and modern CRM software.
- Stakeholder Relations: Facilitate partnerships with property attorneys, public adjusters, and appraisers; collaborate with the C-suite on company growth and sales strategy.
Primary biller (medical insurance)
з 02.2024 по 12.2024
(11 місяців)
Pharmbills, Remote (Consulting, accounting and auditing)
- Revenue Cycle Management: Maintained and reduced outstanding balances (billing/aging) by submitting monthly resident health insurance claims.
- Denial Management: Investigated root causes for claim denials or reduced payments, determining corrective actions to recover old and current balances.
- Performance & Collaboration: Consistently met target collection metrics to qualify for maximum performance bonuses; collaborated with SNF facility management and insurance upper management using NCS (National Care Systems).
Associate Vendor Coordinator
з 04.2023 по 02.2024
(11 місяців)
Zelh, Vinnytsia (Transportation and logistics)
- Carrier Onboarding & Training: Trained drivers and carriers on load specifications, required equipment, and safety compliance.
- Compliance Screening: Verified carrier eligibility, insurance coverage, and safety records via the FMCSA website.
- Recognition: Leveraged bilingual proficiency (English/Russian/Ukrainian) to assist team members and resolve communication barriers, earning an expedited pay raise.
Insurance & claims specialist
з 01.2020 по 04.2023
(3 роки 4 місяці)
Logistics company (NDA restricted), Mykolaiv (Transportation and logistics)
- Insurance Compliance: Managed comprehensive insurance coverage for drivers, cargo, and equipment; acted as a mediator between owner-drivers and insurance providers.
- Incident & Claims Management: Served as the primary point of contact for accidents, coordinating emergency response, police assistance, and repair shops, while seeking property damage compensation from liable parties.
- Risk Assessment: Screened driver hiring records and documentation from an insurance perspective to provide risk mitigation recommendations.
Освіта
Petro Mohyla black sea national university
Finance, insurance & banking with extended english learning, Mykolaiv
Вища, з 2017 по 2020 (3 роки)
Додаткова освіта та сертифікати
British Council English certificate C1.
Has achieved CEFR C1 in the EnglishScore Core Skills test
Знання і навички
- Insurance Claims Management & Compliance
- Medical Billing & Aging / Revenue Cycle Management
- FMCSA Regulations & Trucking Logistics
- Management of CRM
- Data Analysis (Google Sheets) & Process Optimization
- Cross-functional Team Leadership & Negotiation
Знання мов
- Англійська — просунутий
- Українська — просунутий
Додаткова інформація
Detail-oriented and results-driven professional with over 5 years of experience spanning insurance claims management, medical billing, trucking logistics, and construction pipeline management. Fluent in English (C1) with a proven track record of optimizing workflows, reducing outstanding balances, and managing cross-functional operations
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