community relations manager resume example

20+ years of providing various facets of superior customer-centric claims service for numerous clients and staff professionals; liaison between the internal department and the outside clients and vendors.

• Evaluated, investigated, and adjudicated claims ensuring compliance with multiple state guidelines and laws. Conducted audit on medical, legal, and miscellaneous invoices on reported claims.
• Increased customer satisfaction ratings through proactive and actionable resolutions to questions, concerns or challenges.

• Established and maintained strong community partnerships.
• Worked effectively with-suite and all departments throughout the organization.
• Promote strategic programs in line with community needs.
• Provided marketing community/physicians relations within our primary service area.
• Represent hospital various community, civic and ceremonial events.
• Grant writing with proven results.
• Drafted press releases detailing relevant newsworthy information and supporting brand image.

Hired at CCMSI 2000 as a claims specialist. Promoted to supervisor in 2002. Throughout my career at CCMSI, Inc. responsible for the overall claims program for the City of St. Louis, including the Police and Fire Departments.

• Monitored team performance, enforcing compliance with corporate claims processes and procedures.
• Cultivated productive relationships with stakeholders, facilitating claims lifecycle.
• Championed insurance claims process by providing expert knowledge and building positive, trusting relationships to support clients during challenging times.
• Determining proper course of action for claims processing.
• Saved a minimum of 20% on medical costs services and maintained the low cost of catastrophic claims by efficiently handling claims and implementing strategic vendor negotiations.