Daniela Poulton
Compliance Analyst | Claims Processing at Healthcare | Insurance | Cleveland, Ohio, United States
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Daniela Poulton is a seasoned Compliance Analyst specializing in claims processing within the healthcare and insurance sectors. With a robust background in compliance and claims management, Daniela expertly navigates the complexities of Medicare, Medicaid Managed Care, and various state and federal regulations. Her current role allows her to leverage her extensive knowledge of the Centers for Medicare & Medicaid Services (CMS) to ensure that operations adhere to established policies and procedures, thereby safeguarding the integrity of the organization.
In her capacity as a Compliance Analyst, Daniela has spearheaded key projects aimed at identifying performance gaps within claims processing workflows. By employing her analytical and problem-solving skills, she collaborates closely with cross-functional teams to implement corrective actions that enhance operational efficiency and compliance. Her commitment to excellence is further exemplified by her proactive approach to risk assessment and auditing, which not only mitigates potential compliance issues but also fosters a culture of continuous improvement.
Daniela’s strong customer service background complements her technical expertise, enabling her to respond effectively to customer needs and concerns. She understands the importance of maintaining positive relationships with stakeholders, ensuring that their voices are heard in the compliance process. As she seeks new opportunities to further her career, Daniela remains dedicated to driving compliance excellence and operational integrity within the healthcare and insurance industries. She can be reached at [email protected] for potential collaborations or inquiries.
Compliance Analyst | Claims Processing at Healthcare | Insurance in January 1995 to Present
Financial Research Compliance Manager at Case Western Reserve University in March 2018 to Present
Compliance Coordinator at SummaCare in January 2015 to January 2017
Senior Claims Processor at SummaCare in January 2008 to January 2015
Claims Adjuster at Allstate in January 1995 to January 2007
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Kent State University, Bachelor of Arts - BA
Kent State University, Associate's degree
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Data Analysis
CMS
Medicare
Medicaid Managed Care
Medical Compliance
Audit
Claims Resolution
Customer Service
Corrective Actions
Remediation
Downstream Processing
Reporting
Training
Microsoft Office
Research
Risk Assessment
Auditing
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What is Daniela Poulton email address?
Email Daniela Poulton at [email protected], [email protected], [email protected], [email protected] and [email protected]. This email is the most updated Daniela Poulton's email found in 2026.
How to contact Daniela Poulton?
To contact Daniela Poulton send an email to [email protected], [email protected], [email protected], [email protected] or [email protected]. (updated on September 03, 2024)
What company does Daniela Poulton work for?
Daniela Poulton works for Healthcare | Insurance
What is Daniela Poulton's role at Healthcare | Insurance?
Daniela Poulton is Compliance Analyst | Claims Processing
What is Daniela Poulton's Phone Number?
Daniela Poulton's phone (216) ***-*212
What industry does Daniela Poulton work in?
Daniela Poulton works in the Higher Education industry.
Daniela Poulton Email Addresses
Daniela Poulton Phone Numbers
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