Detailed claims processor with several years of experience investigating claim information for correctness. Trustworthy teammate with benefit knowledge and rapport-building skills. Noted for thoroughness and ethical customer service.
Overview
11
11
years of professional experience
2017
2017
years of post-secondary education
Work History
(Remote) Claims Processor
Oscar Health
09.2023 - Current
Coordinated with healthcare providers to obtain missing information or clarification on claims.
Managed workload to meet or exceed productivity and quality standards.
Communicated with policyholders to explain claim decisions and answer inquiries.
(Remote) Medicaid Claims Processor
BroadPath Healthcare
06.2018 - 09.2023
Evaluated claims for accuracy and completeness in a fast-paced environment.
Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.
Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.
(Remote) Claims Processor
Avesis
03.2015 - 05.2018
Reviewed claim documents for accuracy and completeness before approval.
Communicated claim statuses to clients through phone and email interactions.
Processed a high volume of incoming claims in accordance with established policies and procedures.