michael-anthony Spearman

Curates and produces multimedia lifestyle content across digital platforms, growing audience engagement through analytics-driven strategy and securing sponsored brand partnerships.

Managed the full appeals process for dental and vision services, ensuring timely, compliant resolutions and implementing policy updates to maintain regulatory adherence.

Analyzed and resolved Medicare provider claims reconsiderations, processing an average of 113 appeals per week (20% above target) and reducing backlog by 15%.

Accelerated appeals processing, surpassing CMS timeframes by 25% and reducing case resolution time by 20% through thorough investigations and policy application.

Managed billing, payments, and enrollment processes, resolving discrepancies and maintaining accurate customer records to support efficient call center operations.

Reviewed property title documentation and finalized insurance policies to ensure underwriting compliance and timely issuance of accurate policies.

Completed a Bachelor of Arts in Design & Merchandising at Wayne State University, graduating in May 2012.

Completed the Part C & D Organization Determinations training for appeals and grievances for the 2023/2024 cycle.