Nicole P. Meadows Risk Management Specialist Contract Administrator

ad0ime@r.postjobfree.com 513-***-**** Sharonville, OH 45241

Lead investigator and claims adjuster with expertise in providing front-line client support, along with a proven track record of streamlining the investigative process to expedite claim adjudication. Strong background in account management, regulatory compliance, and auditing claims to determine validity while minimizing company liability. Skilled at ensuring strict adherence to protocols and regarded as a consummate negotiator and client relationship manager. Talent for promoting mutual understanding with third-party companies to resolve discrepancies and achieve case resolutions.

Areas of Expertise include:

Strategic Business Planning

Liability Management

Due Diligence

Account Relationship Development

Situational Awareness

Purchasing Management

Conflict Resolution

Asset Management

Critical Thinking Skills

Professional Experience

Cincinnati Children’s Hospital Medical Center • Cincinnati, OH • September 2022 to July 2023

Rep II-HIM

Review, prep and scan medical documents to patient charts.

Sedgwick Claims Management Services • Blue Ash, OH • June 2021 to December 2021

Claims Examiner

Spearheaded investigations evaluating and negotiating General Liability, Personal Injury and Pharmacy claims within a grocery store environment. Enforced strict compliance with established policies and processes to limit liability while expediting the claims adjudication process.

Ensemble Health Partners • Blue Ash, OH • November 2019 to April 2021

Account Specialist

Perform all customer service and collection duties that occur in Revenue Cycle with knowledge of all areas of Patient Financial Services.

Macy's Inc. Risk Management Department • Cincinnati, OH • May 1993 to March 2018

Senior Claims Adjuster

Reviewed and evaluated coverage and liability handling high exposure and third-party claims. Implemented a disciplined approach to evaluating and enhancing risk management controls governing investigations for General Liability Claims.

Key Accomplishments:

Promoted an environment of integrity and accountability, conducting comprehensive investigations and aggregating critical data from claimants, medical professionals and third parties to resolve claims.

Managed a full caseload driving successes during third party investigations and coordinating efforts with outside agencies to appropriately adjust liability claims, collect evidence and build rapport with clients leading to successful outcomes.

Federated Department Stores, Inc. • Cincinnati, OH • May 1993 to May 1995

Claims Adjuster

Spearheaded investigations evaluating and negotiating General Liability and Personal Injury claims within a retail environment. Enforced strict compliance with established policies and processes to limit liability while expediting the claims adjudication process.

Key Accomplishments:

Engaged in risk focused control activities, conducting in depth investigations into General Liability and Personal Injury Claims, Product Liability and Property Damage claims. Engaged claimants and witnesses to obtain and accurately record testimony and resolve claims.

Conducted Loss Analysis and Trending to define level of risk and associated costs. Worked collaboratively with Loss Control Division to monitor reserve dollars and control claim expenses.

Education

Bachelor of Science, Management,

Central State University • Wilberforce, OH

National Dean's List

President of the Omega Psi Phi Fraternity, Inc. Eta Gamma Chapter

Awards

Recipient of the Bright Lights Award, Employee of the Month from G.E. Capital Corporation

Recipient of the YMCA Black Achievers Award from the Federated Department Stores, Inc.

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