| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Idaho Falls, ID Street Address / PHONE NUMBER AVAILABLE/ EMAIL AVAILABLE
Career Objective
Dedicated and detail-oriented individual seeking a senior claim examiner position to utilize strong analytical and communication skills in accurately assessing and processing claims for optimal client satisfaction and organizational success. Adept at sorting and prioritizing work with excellent judgement and analytical problem-solving abilities.
Skills
Claims Investigation Workers Compensation Claims UT & ID
Claims processing Allocating Claims
File Management Decision-making
Professional Skills
Analyzed medical records to identify discrepancies between the claim and treatment history.
Review policies to determine appropriate levels of coverage and assist with approval or denial.
Paid and processed claims within designated authority level
Adjust reserves to maintain consistency with established operational guidelines
Communicate with personnel and legal counsel on claims involving litigation.
Enter claim transactions, payments, reserves and other documentation.
Research and follow up on denied insurance claims.
Conduct daily reviews on claim files and verified sending of status letters to policyholders.
Display strong telephone etiquette, effectively handling difficult calls,
Prioritize and organize tasks to efficiently accomplish service goals
Work History
Senior Claim Examiner August 23, 2017 Current
Broadspire
Senior Claim Examiner December 5, 2010 August 15, 2017
United Medical Solutions
Education
Associates Degree May 1981
College of Southern Idaho Twin Falls, ID
Independent Adjusters License |
