Medical Claims Examiner
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Cybersecurity and operations professional with experience across insurance, healthcare, banking, project management, and security operations. Skilled in risk assessment, regulatory compliance, incident response, claims adjudication, EMR/EHR systems, stakeholder management, and process improvement. Recognized for managing confidential information, coordinating cross-functional teams, and delivering high-quality service in regulated environments.
Medical Claims Examiner - Canada Life
(2024-02)
Reviewed and adjudicated complex health and dental claims while ensuring policy compliance and accurate payment decisions. Investigated incomplete claims, collaborated with healthcare providers and members, resolved coverage inquiries, maintained detailed documentation, and delivered exceptional customer service.
Strategic Account Manager - Ainsworth Inc.
(2023-01 - 2024-02)
Managed national maintenance operations for VIA Rail by coordinating suppliers, service requests, invoicing, and capital projects. Monitored work orders, scheduled preventive maintenance, resolved operational issues, and ensured regulatory certifications were completed.
Medical Science Liaison Specialist - Montfort Hospital
(2021-09 - 2023-11)
Supported medical imaging operations by preparing patients, maintaining EMRs, coordinating patient flow, assisting physicians and technologists, sterilizing equipment, and ensuring accurate clinical documentation.
EMR Implementation Specialist - ByWard Family Health Team
(2020-07 - 2021-07)
Supported EMR implementation, coordinated referrals and appointments, maintained confidential patient records, collaborated with healthcare providers, and supported quality improvement initiatives.
Medical Supply Chain & Fulfillment Lead - CIUSSS
(2019-06 - 2020-07)
Managed procurement, inventory, supplier relationships, and distribution of medical supplies while improving operational efficiency and ensuring timely delivery of critical equipment.
SOC Analyst - Hudson's Bay
(2016 - 2018)
Monitored security events, investigated incidents, performed threat hunting and log analysis, escalated security events, documented findings, and supported continuous improvements to security operations.
Mastercard Financial Specialist - BMO
(2011 - 2014)
Supported credit administration, verified customer information, processed financial documentation, maintained compliance, improved processes, and delivered exceptional client service.
Biochemistry & Microbiology - University of Ottawa (2020 - 2022)
Engineering & Applied Science - Cégep du Vieux Montréal (2017 - 2020)
