Adam Tyler

Business Logic Engineer at Managed Care Systems, Inc.

Adam Tyler has a diverse work experience in various industries. Adam started their career as a Technology Sales Supervisor at Circuit City from 2004 to 2009. Adam then worked as an Insurance Agent at Aflac from March 2009 to July 2009, where they focused on sales prospecting and direct business sales. Adam then joined American TV as a Sales Professional from August 2009 to December 2010, where they excelled in customer advocacy and sales follow-up.

In 2011, Adam started at Allstate as a Claims Service Specialist, establishing claims and providing excellent customer service. Adam later became a Quality Consultant, reviewing Claim Service Specialist calls to provide feedback and coaching.

Adam then transitioned to Dean Health Plan, Inc. in 2013, where they held the roles of Customer Operations Team Lead and Utilization Management Technical Assistant II. In these positions, they reviewed claims and prior authorization requests, ensuring compliance and handling high dollar and transplant claims.

From 2016 to 2021, Adam worked at Auxiant, first as a Stop Loss Coordinator and Repricing Specialist, responsible for various tasks related to stop loss cases and PPO network maintenance. Adam then became a Senior Routing and Repricing Specialist, configuring the system and manually repricing claims based on fee schedules. Finally, they served as a Provider and PPO Network Maintenance Team Lead, training specialists and optimizing workflows for system automation.

Currently, Adam is a Business Analyst at Managed Care Systems, Inc., starting in June 2021. In this role, they specialize in gathering business requirements and implementing solutions related to healthcare transactions and processes, working with software products such as Visova, Impact, and Comlink.

Adam Tyler attended the University of Wisconsin-Whitewater from 2003 to 2006. Adam studied Business Administration and Management, General, but did not complete a specific degree.

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