MICHELLE DAWSON
Dallas
Summary
Consultant with expertise in developing and executing effective business strategies. Proven ability to identify operational improvement opportunities and enhance efficiency through change management initiatives. Skilled in strategic planning and team leadership, contributing to organizational growth and profitability.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Stop Loss Consultant
Gravie
Minneapolis
07.2023 - Current
- Established the clinical department through strategic planning and execution.
- Provided advice on operational processes and other areas of improvement.
- Developed workflows for clinical review and underwriting collaboration.
- Spearheaded cross-departmental discussions to align clinical and underwriting objectives.
- Evaluated existing systems against industry best practices for enhanced efficiency.
- Completed and reviewed new and renewal business within designated turnaround times.
- Implemented customized strategies to address specific underwriting requirements.
Sr. Stop Loss Consultant- Team Lead
Unum
Chattanooga
06.2021 - 07.2023
- Coordinated meetings to align clinical and underwriting teams on project scope
- Contributed to the creation of advanced analysis technique
- Provided advice on operational processes and other areas needing improvement
- Collaborated with internal clients to develop action plans to address specific challenges and objectives
- Identified needs of the underwriting department promptly and efficiently
- Maintained positive working relationships with fellow staff and management
Sr. Stop Loss Medical Consultant
Symetra
Bellevue
05.2015 - 03.2021
- Analyzed risk for potential high-risk claimants on new business and renewal groups.
- Leveraged various data tools to analyze and interpret information
- Collaborated with multiple departments to enhance service bundling for employer groups.
- Collaborated with colleagues to review, accept, or deny new and renewal business.
- Assisted in second opinion reviews.
- Trained incoming staff members
Education
Master of Science - Nursing
American Sentinel University
Denver, COBachelor of Science - Nursing
Chamberlain College of Nursing
Chicago, ILAssociate of Science - Nursing
Central Ohio Technical College
Newark, OHSkills
- Critical thinking and analysis
- Clinical assessment
- Operational improvement
- Team collaboration
- Employee training and development
- Cost analysis
- Attention to detail
- Leadership skills
- Customer service
Accomplishments
- Graduated Summa Cum Laude from both Chamberlain College of Nursing and American Sentinel University.
- Numerous accolades from co-workers and senior management on personal value to company
Certification
- Certified Case Manager
Affiliations
- Engaged in local community through church activities to reach the poor and underserved
- Crafter- knitting, crocheting, art
- Budding chef
- Interest in astronomy
Membership
- AAPC
- American Society of Registered Nurses
Furthering education
- Currently enrolled in Certified Professional Coder (CPC) classes
References
References available upon request.
Timeline
Stop Loss Consultant
Gravie
07.2023 - Current
Sr. Stop Loss Consultant- Team Lead
Unum
06.2021 - 07.2023
Sr. Stop Loss Medical Consultant
Symetra
05.2015 - 03.2021
Master of Science - Nursing
American Sentinel University
Bachelor of Science - Nursing
Chamberlain College of Nursing
Associate of Science - Nursing
Central Ohio Technical College
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