Open to opportunities

Lawrence Miller

@lawrencemiller

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Retired professional seeking part-time opportunities in project management.

United States

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What I'm looking for

I am looking for part-time remote roles that allow me to utilize my expertise in project management and problem-solving while providing flexibility.

With over 23 years of experience in the healthcare and insurance sectors, I have honed my skills in project management, problem-solving, and team leadership. My most recent role as a Senior Provider Technical Specialist involved overseeing the Provider Contract Remediation group, where I was responsible for project development and communication across departments. I take pride in my ability to manage complex projects while ensuring timely completion and high-quality outcomes.

Throughout my career, I have been dedicated to supporting both internal and external clients, particularly in resolving contractual and system issues. My experience includes working closely with various departments to analyze data, implement solutions, and provide training to staff. I am passionate about leveraging my extensive knowledge to contribute to projects that have specific timelines, allowing me to remain engaged in the workforce while enjoying a flexible schedule.

Experience

Work history, roles, and key accomplishments

Senior Provider Technical Specialist

Health Care Services Corporation

Oct 2017 - Oct 2023 (6 years)

Oversaw the Provider Contract Remediation group, managing project development and communication between departments. Provided support for the Special Investigations Unit, addressing technical issues and fraud investigations. Supervised staff and ensured timely completion of projects while maintaining strong inter-departmental relationships.

Project Management Team Leadership Communication Fraud Investigation Data Analysis Contract Management Problem Solving Customer Service

Provider Advocate Specialist

Health Care Services Corporation

Oct 2013 - Mar 2014 (5 months)

Analyzed and resolved inquiries from various sources, working with internal and external customers to identify root causes of problems. Communicated with multiple departments to facilitate resolutions and ensure effective information flow.

Problem Solving Customer Service Communication Data Analysis Conflict Resolution

Customer Advocate

Blue Cross Blue Shield of Texas

Oct 2007 - Oct 2013 (6 years)

Managed written inquiries and claim statuses, collaborating with other Blues Plans and Providers. Analyzed claim problems and communicated resolutions effectively to ensure satisfactory outcomes.

Claims Management Customer Service Communication Problem Analysis Team Collaboration

Customer Advocate

Blue Cross Blue Shield of Illinois

Apr 2007 - Oct 2007 (6 months)

Answered provider questions regarding coverage and insurance, ensuring national and state-wide coverage for accounts. Provided support in claims processing and adjustments.

Customer Service State Claims Processing Communication

New Business Coordinator/Case Manager

CES, Inc

Oct 2005 - Apr 2007 (1 year 6 months)

Managed incoming new business processes, ensuring smooth workflows between producers and home offices. Developed streamlined practices and maintained relationships with producers.

Business Process Management Relationship Management Team Collaboration Communication

Producer Care Representative

AIG

Mar 2000 - Sep 2005 (5 years 6 months)

Provided service and support to broker-dealers, responding to inquiries and offering training on new products. Ensured compliance with regulatory updates and assisted in the implementation of new systems.

Customer Support Compliance Training Problem Solving

Independent Advisor Network

AIG

Feb 2000 - Sep 2005 (5 years 7 months)

Part of a team for a new distribution channel aimed at recruiting independent agents. Analyzed and established guidelines for operational procedures, providing administrative support for high-end producers.

Team Leadership Recruitment Business Development Administrative Support