Shawna Thornton
claims operations director with experience in tpa health benefits administration provider reimbursement and stop loss @ Delaware First Health
Winter Springs, Florida, United States
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Shawna Thornton is a goal-oriented and result-driven collaborative leader with 19.8 years of experience in the managed care and health insurance industry. She excels in risk management, auditing, and Microsoft Office. Shawna's expertise includes Microsoft Excel, Microsoft Office, and Microsoft Excel. She is known for her ability to streamline future goals and organizational direction, relay initiatives into simple tasks. Shawna's expertise includes Claim Operations Commercial, Self Insured, Government and Reinsurance Benefits Administration, Health Care Policy, Compliance, Operational Management, Managed Care, Departmental Budgeting, and Business Process Outsourcing. She can be reached at [email protected] or a private message on LinkedIn.
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Emails and Phone Numbers

@ibx.com
@horizonblue.com
@healthfirst.org
@benesys.com
@gmail.com
+1 407280****
+1 908258****
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About

Goal oriented, result driven collaborative leader that has successfully guided my leadership decisions and innovative ideas as a Director Claim Operations with significant experience within the managed care and health insurance industry. I am an operational support resource to the many vendors and organizations I’ve worked with. My major contribution is having an innate ability to streamline future goals and organizational direction by conceptualizing and breaking down initiatives into simple and executable tasks. I relay these initiatives in a manner that my departmental team feels supported and not overwhelmed by the added or changed responsibilities. It comes as no surprise that the health insurance industry is ever-changing due to the federal, city and state regulations. It is key to remain flexible and comfortable with change because it is inevitable. To manage the changes, customer service responses, and team development; I conduct elevated analysis to mitigate any foreseen risks, steer cross-functional conversation, and respectfully challenge leadership decision-making with the use of intellectual capital, trends, and data to support my claims. My other expertise includes: · Claim Operations Commercial, Self Insured, Government and Reinsurance Benefits Administration · Health Care Policy · Compliance · Operational Management · Managed Care · Departmental Budgeting · Business Process Outsourcing Feel free to reach out if you want an honest and impactful leader , who knows how to create winning teams and support a cohesive work culture to join your team. I can be reached at [email protected]. Or a private message right here on LinkedIn. Best Regards, Shawna Thornton

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Work Experience

Hospitals and Health Care

7
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Shawna Thornton's Professional Milestones

  • Audit Supervisor Ii (2006-04-01~2013-05-01): Developed and implemented data-driven audit strategies for efficiency, accuracy, and compliance.
  • Operations Supervisor Iii (2016-02-01~2017-06-01): Streamlined operational processes, enhancing efficiency and productivity across all departments.
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Education

Argosy University
Argosy University

Industrial And Organizational Psychology,

Bachelors,

Bachelor Of Science

2012-2016
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