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Medical Underwriter Resume Example

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MEDICAL UNDERWRITER
Highlights
  • CPR certification
  • Ability to be flexible, work well under stress, and learn new tasks quickly
  • Experience with testing/learning new systems
  • Exceptional versatility and adaptability- control to manage multiple tasks in a pressured environment
  • Underwriting Department Floor Warden
Accomplishments

Analytical Skills 

  • Member of the Individual Underwriting Process Improvement Core Team. Identified problems and proposed solutions to streamline the application process to improve the underwriting turn-around time (TAT).
  • SalesForce program tester. Provided technical review of the software by identifying defects and recommending enhancements for its intended use in Individual Underwriting.

] 

  • Conducted detailed technical and analytical review of federal/state corporate, partnership and S corporation tax returns, FAS 109 provisions, and quarterly estimates prepared by associates.


Experience
Medical Underwriter12/2011 to CurrentLegacy Health SystemLake Oswego , OR

Ensures the financial soundness of Individual business by analyzing an applicant's medical history to determine potential claims risk.

Maintains knowledge and understanding of our underwriting guidelines as well as state, federal regulations.

Knowledge of HIPAA compliance-ability to maintain confidential information.

In depth knowledge of our systems and the technical skill to navigate through them to get to information quickly.

Assist teams in other areas of my department when needed; this includes duties listed in my previous positions below.

Medical Underwriting Tech Lead01/2011 to 12/2011The Regence GroupCity , STATE

Produced correspondence detailing plan eligibility/rates and provide customer service to internal and external customers.

Responsible for maintaining the underwriting letter library - updating and creating new letter templates.

Maintain reference manuals and procedure guidelines - assisted in updating user documentation of processes, policies, and procedures in response to business changes and ensure staff is updated on modifications.

Assisted in monitoring and distributing staff workload and training new employees -- sharing knowledge and encouraging others to help achieve specific team goals.

Handled difficult or escalated calls, appeals or inquiries from applicants, current members, member representatives and internal customers with a timely follow through.


Medical Underwriting Tech01/2010 to 01/2011The Regence GroupCity , STATE

Generating correspondence detailing plan eligibility/rates.

Checking in medical records as well as generating the requests.

Providing customer service by explaining the underwriting decision.

Medical Underwriting Clerk05/2008 to 01/2010The Regence GroupCity , STATE

Reviewing correspondence for accuracy before sending to members and their agents.

Calling out to potential members in attempt to obtain additional health information when their application is incomplete.

Opt-Selecting (reviewing the file and data entered in system to confirm everything is correct--last step of underwriting).

Prepping files, data entry, sorting mail and miscellaneous.

Sales Associate/Clinique Consultant07/2007 to 05/2008MacysCity , STATE
Office Assistant04/2003 to 12/2005NAPA Auto PartsCity , STATE
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

52Fair
Resume Strength
  • Completeness
  • Formatting
  • Word choice
  • Measurable results
  • Strong summary
  • Clear contact info
  • Typos

Resume Overview

Job Titles Held:

  • Medical Underwriter
  • Medical Underwriting Tech Lead
  • Medical Underwriting Tech
  • Medical Underwriting Clerk
  • Sales Associate/Clinique Consultant
  • Office Assistant

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