Provider Relations Coordinator @ ARM GRP (July 2012 - August 2013)
Claims Manager @ (November 1992 - September 2011)
Claims Adjuster and Recovery Specialist @ Prudential Insurance (August 1981 - October 1989)
Darlene Smets Education
Lewis University
Bachelor of Arts (Human Resources Management)
2013-2015
Joliet Junior College
Associate of Arts (Human Resources Management)
2012-2012
Moraine Valley Community College 1983
Darlene Smets Skills
Health Plan Operations
Insurance
Claim
Process Improvement
Employee Benefits
Life Insurance
Health Insurance
Microsoft Excel
Microsoft Word
Microsoft PowerPoint
Microsoft Outlook
Microsoft Access
Strategic Planning
Claims Management
Training
Management
Underwriting
Claim Investigation
Medicare
Outlook
Access
Managed Care
HIPAA
PowerPoint
Reinsurance
Healthcare
Team Building
Subrogation
Disability Management
Account Management
Disability Insurance
ERISA
Provider Relations
Claims Resolution
Workers Compensation
PPO
COBRA
Network Development
Pharmacy Benefit Management
Benefits Administration
Administration
Employee Wellness
Long-term Care
Workers' Compensation Claims
Claims Handling
Medicaid
Accident
Employee Wellness Programs
Conflict Resolution
Customer Service
Cebs
Customer Service Representatives
Printing
Vendors
Community
System Software
Disability Benefits
Net
Fee
Processors
Advancement
System Upgrades
Oversight
Aol
Programming
Savings
Interpersonal Communication
Catalogs
Legal
Third Party
Process Implementation
Data Conversion
250k
Security
Descriptions
CRM
Auditing
Workflow
Human Resources
Self Funded
Grass Gis
Networking
Foundation
Legal Writing
System
Cell
Trade Unions
Data Recovery
Team Management
Mechanics
Reports
Strategy
Loss Prevention
Supervision
Operations Management
Medicine
Medical Necessity
Information Quality
Testing
Prescription
Progression
Benefits Negotiation
Long Term Care
Scheduling
Project Management
Mitigation
Research
Appeals
Service Providers
Reporting
Analysis
Business Continuity Planning
Rims
Instrumental
Coordination
Communication
Negotiation
Business Operations
Active
Digital Imaging
Summaries
Risk Assessment
Peer Reviews
Indian
Automobile
House
Pharmacy
Short Term
Paper
Presentations
Computer Proficiency
Dentistry
Responsibility
Health Benefits Administration
Therapists
Pam
International
Art
Google Groups
Data Transfer
Trust
Reviews
Software
Continuing Education
Disciplinary Action
Trustees
Case Management
Business Continuity
Rate
Network Communications
Welfare
Invoicing
Problem Solving
Meetings
Support Staff
Eligibility
Claims Review
Relationship Development
Coordinated
Darlene Smets Summary
Darlene Smets, based in Waterford, CT, US, is currently a Manager Claims Administration at AMA Insurance. Darlene Smets brings experience from previous roles at ARM GRP, Automobile Mechanics' Local 701 Welfare Fund and Prudential Insurance. Darlene Smets holds a 2013 - 2015 Bachelor of Arts in Human Resources Management @ Lewis University. With a robust skill set that includes Health Plan Operations, Insurance, Claim, Process Improvement, Employee Benefits and more. Darlene Smets has 4 emails and 2 mobile phone numbers on RocketReach.
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