sinthonia nesbit
@sinthonianesbit
Results-driven Project Advisor with expertise in insurance claims.
United StatesWhat I'm looking for
I am a results-driven Project Advisor with extensive experience in insurance claims and benefit analysis. My career has been marked by a strong focus on cross-functional collaboration and process improvements, which have consistently led to enhanced operational efficiency. I thrive in complex corporate environments, where my ability to communicate effectively and manage multiple priorities has been instrumental in achieving aggressive KPIs.
Currently, I am working as a Project Advisor at KellyMitchell Group, where I lead claims initiatives and ensure compliance across healthcare payer claims. My previous roles have equipped me with a robust understanding of healthcare operations and regulatory compliance, allowing me to support utilization management tasks and optimize claims accuracy. I am also pursuing my PMP certification to further enhance my project management skills and contribute even more effectively to my team.
Experience
Work history, roles, and key accomplishments
Project Advisor / Claims Benefit Specialist
KellyMitchell Group
Jan 2023 - Present (2 years 5 months)
Led claims initiatives by coordinating cross-departmental teams to meet aggressive KPIs. Communicated regularly with internal and external stakeholders to streamline issue resolution. Applied self-initiative to identify process bottlenecks and implement timely improvements.
Project Advisor / Claims Processor
Insight Global
Jan 2020 - Aug 2023 (3 years 7 months)
Delivered timely, accurate claim resolutions while managing multiple tasks independently. Collaborated with contracting and compliance teams to resolve complex payer issues. Supported utilization management tasks through detailed claims analysis and reporting.
Claims Benefit Specialist
Kelly Temporary Services
Jan 2016 - Apr 2020 (4 years 3 months)
Oversaw quality assurance initiatives and reported performance metrics to senior leadership. Coordinated administrative and financial aspects of healthcare claims management. Trained team members in claims protocols and process documentation.
Education
Degrees, certifications, and relevant coursework
Jane Addam
High School Diploma, General Studies
Completed high school education at Jane Addam in The Bronx, NY, graduating in 1987. This foundational education provided essential skills for future professional development.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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