Insurance Claims Specialist Resume Example Mutual Of Omaha

INSURANCE CLAIMS SPECIALIST

Summary

Proficient Claims Associate skilled in handling high volumes of [Type] claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases.

Skills

Documentation skills
Reporting abilities
Regulatory compliance understanding
Account management expertise

Customer service
Team building
Problem resolution
Inventory management

Experience

Mutual of Omaha | Omaha, NEInsurance Claims Specialist01/2000 - 01/2001

Determined liability, compensability and benefits due on each claim.
Stayed current on industry trends and changes and participated in professional development opportunities to strengthen product and service knowledge.
Fostered relationships with customers to expand customer base and enhance loyalty and retention.
Recognized by management for providing exceptional customer service.
Monitored reports to identify claims issues and worked with adjusters to resolve problems.
Demonstrated self-reliance by meeting and exceeding workflow needs.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Improved customer satisfaction by finding creative solutions to problems.
Improved operations by working with team members and customers to find workable solutions.

Immanuel Hospital and All Clinics (Floater) | Omaha, NECertified Medical Assistant06/1994 - 10/1996

Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment.
Assessed, documented and monitored vital signs for more than [Number] patients per day.
Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analyses.
Used [Type] software to process patient payments and update accounts.
Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
Organized charts, documents and supplies to maintain team efficiency.
Administered rapid tests such as [Type] and [Type] to help clinical staff assess conditions.
Contributed to efficient office operations by triaging patients by severity of medical complaint.
Completed basic physical assessments of [Type] and [Type] patients to provide optimal care.
Contacted pharmacies to submit and refill patients' prescriptions.
Performed preliminary physical tests, such as taking blood pressure, weight and temperature, accurately recording results in patient history summary.
Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions.
Monitored medical supply levels to confirm sufficient stock, promptly placing replenishment orders before depletion.
Educated patients about medications, procedures and physician's instructions.
Verified appointment times with patients, preparing charts, pre-admission and consent forms.
Secured patient information and maintained patient confidence by completing and safeguarding medical records.
Interviewed patients to verify information, record medical history and confirm purpose of visit.
Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
Recorded vital signs and medical history for 20 patients each day.
Scheduled appointments for patients via phone and in person.

Creighton Family Physicians | Omaha, NECertified Medical Assistant10/1991 - 07/1995

Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate effective treatment.
Assessed, documented and monitored vital signs for more than [Number] patients per day.
Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analyses.
Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
Administered rapid tests such as Diabetes and pregnancy to help clinical staff assess conditions.
Contributed to efficient office operations by triaging patients by severity of medical complaint.
Completed basic physical assessments of Existing and New patients to provide optimal care.
Contacted pharmacies to submit and refill patients' prescriptions.
Performed preliminary physical tests, such as taking blood pressure, weight and temperature, accurately recording results in patient history summary.
Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions.
Monitored medical supply levels to confirm sufficient stock, promptly placing replenishment orders before depletion.
Educated patients about medications, procedures and physician's instructions.
Verified appointment times with patients, preparing charts, pre-admission and consent forms.
Secured patient information and maintained patient confidence by completing and safeguarding medical records.
Interviewed patients to verify information, record medical history and confirm purpose of visit.
Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
Recorded vital signs and medical history for 20 patients each day.
Scheduled appointments for patients via phone and in person.

Education and Training

Omaha College Of Health Careers | Omaha, NESome College (No Degree) in Medical Assisting

Completed professional development in medicine
Ranked in Top 5% of class
3.8 GPA

Resume Overview

Companies Worked For:

Mutual of Omaha
Immanuel Hospital and All Clinics (Floater)
Creighton Family Physicians

School Attended

Omaha College Of Health Careers

Job Titles Held:

Insurance Claims Specialist
Certified Medical Assistant

Degrees

Some College (No Degree) in Medical Assisting

Insurance Claims Specialist Resume Example

Resume Score: 80%

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