Adrianna Wilson

• Manage complex insurance claims, escalations, prior authorization support, and benefit-related inquiries while ensuring timely and accurate resolution.

• Investigate claim discrepancies, insurance coverage issues, and policy information to support reimbursement activities and claim processing.

• Utilize payer portals and insurance systems to research claim status, resolve denials, assist with appeals, and improve reimbursement turnaround times.

• Provide customer advocacy and case support through inbound and outbound communications with members, providers, beneficiaries, and internal departments.

• Assist customers with benefits verification, insurance inquiries, claims processing, policy interpretation, and healthcare-related support services.

• Maintain accurate case documentation while managing multiple cases in fast-paced production environments.

• Maintain confidentiality of sensitive customer information in compliance with HIPAA guidelines and company policies.

• Assisted customers with insurance claims, billing concerns, policy updates, enrollment support, and healthcare-related inquiries.

• Processed policy changes, renewals, audits, and documentation with accuracy and efficiency in high-volume environments.

• Resolved customer complaints, escalated concerns, and provided professional customer support to improve client satisfaction and retention.

• Provided detailed explanations regarding insurance coverage, claims processes, and available support services.