Claims Processor
State Farm Tucker,Georgia
Highlights Microsoft Office (advanced) *Enterprise Claims System *Touch typist at 60 WP *Cisco IP Phone Experience State Farm Duluth , GA Claims Processor 06/2012 to Current Responsible for greeting customers
Claims Processor
Well-Point Fort Mitchell,Alabama
Point July 2013 to September 2014 Claims Processor Columbus , Georgia Researched claim over payments and requested refunds , processed claim forms , adjudicated claims for provision of deductibles , ...Clerical , Correspondence , Data Entry , File , Ordering , Registrations , Word , Claims , Postal , Processor , Customer Service , Customer Service Representative , Retail Sales , Maintenance...potential risks due to claims not processed and shipped in a timely manner , followed adjudication policies and procedures to make sure proper payment of claims , prepared and shipped claims documents via postal
Claims Processor
United Healthcare Plano,Texas
outpatient claims , medical coding capability EOB/EOP , ICD - 9/10 coding , HCPCS , Diagnostic coding , CPT coding , UB - 04 and HCPA processing Professional Experience Claims Processor May 2015 United...was covered by patient's pharmacy benefits . Ensured HIPAA compliance . Customer Serv Rep/Claims Processor Aug 2013 to Oct 2014 Careington International - Frisco , Texas Answered high call volumes , of...by managing all mortgage closings , staff meetings , and 3rd party vendor conferences . Loan Processor II Oct 2011 to Nov 2011 Collabera Temp Agency - Plano , TX Completed All loan prerequisites :
Claims Processor
Sidney,Nebraska
Organization and planning Claims Processing Microsoft Office , proficient Work History 07/2019 to Current Claims Processor UST Global – Aliso Viejo , CA Examine health insurance claims submitted from providers...providers Validate or deny claims to be processed for payment Successfully process 50 , 60 claims per day 03/2013 to 11/2018 Human Resource Information System Administrator Cabela's Inc , – Sidney
ITS Claims Processor
TMG Health Inc. Jessup,Pennsylvania
1500 Claims Processor Customer Service experience , including appeals and adjustments ITS/Blue2 trained Knowledge of Medicare Advantage Plans Professional Experience 01/2016 to Current ITS Claims Processor...received . 10/2004 to 01/2016 Remote Claims Processor TMG Health Inc . - Jessup , PA I have extensive experience with Facets as I have been processing Medicare 1500 claims since I started working for TMG...denied/rejected claims as they are received through General Inquiries and Adjustment Requests via the Blue2 System for Medicare Advantage 1500 claims . It is my responsibility to reprocess claims when required
Claims Processor
Kissimmee,Florida
Wisconsin Rapids , WI Working as a claims Processor as Authorization Matching , ER Claims and Claim to Authorization , Analyze claims to be determine if all claims filing requirements have been met...Service and Education , Seasoned Claims Processor evaluating online entry , error correction and quality control review for final adjudication of claims , Strong business and financial acumen...communication Claims review Documentation skills Regulatory compliance Multitasking Regulatory compliance understanding Data management Customer service Organizational skills Experience Claims Processor ,
Claims Processor
Sidney,Nebraska
(HRIS) Work History 07/2019 to Current Claims Processor UST Global – Aliso Viejo , CA Examine health insurance claims submitted from providers Validate or deny claims to be processed for payment Increased...Increased productivity to 50 , 60 claims per day 03/2013 to 11/2018 Human Resource Information System Administrator Cabela's Inc , – Sidney , NE Primary contact for process , system questions and employee
Claims Processor
Accenture San Antonio,Texas
Customer service - oriented Expert closer Claims Processor Creative problem solver MS Windows proficient Exceptional communication skills Work History Claims Processor , 09/2014 to Current Accenture – San...mortgage insurance claims payment reimbursement expense forms . Following up with client representatives regarding the validity of requests , required documentation , escalated claims , submission errors...Support escalations and issue resolution related to the accurate processing of mortgage insurance claims and expense reimbursement requests . Maintaining strong relationships with the client representatives
Claims Processor
Illinois Department Employment Security Chicago,Illinois
mentoring Work History May 2020 - Current Claims Processor | Illinois Department Employment Security | Chicago , IL Taking inbound calls processing unemployment claims . Ensure that necessary steps are
Claims Processor
Progressive Insurance Astoria,New York
knowledge Automobile claims specialist Skilled multi - tasker Highly motivated Customer service - oriented Organized MS Office Types 60 WPM Work History Claims Processor , Progressive Insurance...positive outcomes for client's claims . Evaluated insurance policies and analyzed damages to determine coverage . Substantiated legitimate claims and denied unjustified claims . Answered customer...regarding premium and deductibles payments . Accepted new losses , handled glass claims and handled existing claims calls . Processed calls in a detailed and accurate manner while providing superior
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