Summary
Overview
Work History
Education
Skills
Professional Experience
Education And Accreditations
References
Timeline
Generic

Adelore Joseph

Houston,TX

Summary


Business-minded professional with exemplary skills in customer service, time management and service coordination. Bringing over 30 years of related experience combined with superior mathematical abilities. Pursuing similar position with expanding insurance company.

Overview

14
14
years of professional experience

Work History

Account Manager

Uniq Angel Transport Services
03.2019 - Current
  • Increased client satisfaction by building strong relationships and addressing their needs promptly.
  • Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
  • Addressed problems with accounting, billing, and service delivery to maintain and enhance client satisfaction.
  • Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.

Senior Claims Analyst

Memorial Hermann
04.2013 - 03.2019
  • Negotiated successful outcomes for clients by leveraging strong analytical skills and knowledge of insurance policies.
  • Supported team efficiency efforts by developing standardized templates for common claim types, expediting document preparation timeframes.
  • Maintained up-to-date knowledge of industry trends and regulatory changes, applying insights to enhance claim processing effectiveness.
  • Identified opportunities for cost savings through careful review of vendor contracts and invoice discrepancies related to claims services engagements.

Senior Claims Analyst

CorVel Corporation
01.2010 - 04.2013
  • Negotiated successful outcomes for clients by leveraging strong analytical skills and knowledge of insurance policies.
  • Supported team efficiency efforts by developing standardized templates for common claim types, expediting document preparation timeframes.
  • Maintained up-to-date knowledge of industry trends and regulatory changes, applying insights to enhance claim processing effectiveness.
  • Identified opportunities for cost savings through careful review of vendor contracts and invoice discrepancies related to claims services engagements.
  • Conducted rigorous audits to ensure compliance with industry regulations, internal policies, and best practices.

Education

Bachelor of Science - Insurance

Howard University
Washington, DC

Skills


  • Account Management
  • Medical and Workman’s compensation billing
  • Extensive knowledge of Workers compensation laws for multiple states
  • Well versed in multi-state fee schedules and UCR values
  • Extensive knowledge in Medical Terminology, ICD-9CM and CPT Coding
  • Claims Processing Efficiency
  • Claims Management Expertise

Professional Experience

Over eighteen years experience as a Claims Analyst, with an in-depth knowledge of analyzing and re-pricing medical and hospital claims for workers compensation, auto and disability management Insurance markets

Education And Accreditations

  • Bachelor of Science, Insurance, Howard University, Washington D.C, 05/01/1988
  • Bachelor Science, Urban Planning, Howard University, Washington D.C, 05/01/1984
  • Diploma, General Studies, Bruton, England, 05/01/1979

References

Professional reference will be furnished upon request

Timeline

Account Manager

Uniq Angel Transport Services
03.2019 - Current

Senior Claims Analyst

Memorial Hermann
04.2013 - 03.2019

Senior Claims Analyst

CorVel Corporation
01.2010 - 04.2013

Bachelor of Science - Insurance

Howard University

Similar Profiles

CREATE PROFILE
Adelore Joseph