D K
@dk04
Claims examiner and imaging specialist driving accuracy, compliance, and process improvement.
United StatesWhat I'm looking for
I am a results-driven claims examiner and imaging specialist with consistent success improving process efficiency and compliance across benefits and imaging operations. I have led initiatives that reduced processing time, increased accuracy, and produced significant cost savings.
At Reliance Matrix I streamlined follow-up processes for over 1,000 medical certification forms and applied statutory offsets to 300+ claims monthly, reducing overpayments and saving the company substantial annual costs. In prior roles at Amazon and Philips I coordinated stakeholders, redesigned workflows, and improved turnaround and accuracy rates through practical process redesigns and tool use.
I bring strong skills in claims investigation, imaging systems, CRM platforms, and data analysis, and I communicate effectively with providers, employees, and cross-functional teams to deliver measurable operational improvements.
Experience
Work history, roles, and key accomplishments
Claims Examiner II
Reliance Matrix
Mar 2025 - Present (11 months)
Streamlined follow-up for 1,000+ medical certification forms, reducing processing time by 40% and accelerating claim resolutions; applied statutory offsets to 300+ STD claims monthly, cutting overpayments 25% and saving $150,000 annually.
Claims Examiner I
Reliance Matrix
May 2023 - Mar 2025 (1 year 10 months)
Researched and investigated STD and LTD claims, handled complaints and grievances, and delivered negotiated solutions to resolve claims and reduce escalations.
Coordinated stakeholders and leveraged JIRA workflows to deliver 90% of imaging projects, redesigned ticket queues to increase accuracy 25%, and reduced downtime occurrences by 30%.
Analyzed DSP feedback and Amazon tools to improve onboarding and support processes, increasing delivery partner satisfaction 7% and speeding issue resolution 32%.
Ultrasound Order Processor
Philips Electronics
May 2018 - Sep 2018 (4 months)
Processed 5,000+ purchase orders annually, reducing turnaround time 30% and achieving 99% accuracy in quotes and orders to minimize discrepancies and improve customer satisfaction.
Education
Degrees, certifications, and relevant coursework
Middle Tennessee State University
Bachelor of Science, Psychology
Completed a Bachelor of Science in Psychology, graduating in May 2014.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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