Aida Muratovic

• Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations while independently managing an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews

•Interacts and communicates effectively with claimants, customers, health care providers, attorneys, and employers during claim evaluations while addressing and resolving escalated customer complaints in a timely and thorough manner

•Complies file documentation and correspondence requiring extensive policy and factual detail. Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available and collaborates effectively with both external and internal resources, such as physicians, attorneys, clinical and vocational consultants, as needed, to gather data such as medical/occupational information in order to ensure reasonable thorough decision

•Clarifies and reconciles inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed

• Successfully completed and monitored multiple projects, identified risks and took corrective action as needed to properly identify coding and root cause
• Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies
• Managed daily inventory reporting and collected claim data by conducting analyses using various tools such as SharePoint, Excel and PowerPoint
• Managed and distributed weekly reports in order to provide feedback to team leaders and managers to improve service time and quality while increasing productivity
• Participated in departmental meetings to establish short and long-term strategy
• Participated in initiatives to drive excellence
• Edited, proofed and critiqued internal documents to improve clarity

• Handled various accounting transactions while executing customer transactions, including deposits, withdrawals, money orders and checks
• Performed complex general accounting functions, including preparation of journal entries, account analysis and balance sheet reconciliations
• Evaluated employee expense reports and verified accuracy
• Wrote professional memorandum, letters and marketing copy
• Continually sought methods for improving daily operations, communications with clients, record keeping and data entry for increased efficiency

• Successfully renegotiated payment terms with dozens of suppliers
• Maintained confidential information, such as pay rates, bonus targets and pay grades
• Developed client rapport by efficiently addressing incoming correspondence and resolving 300+ A/P inquires per week
• Prepared monthly and annual expense forecasts, including any necessary recommended action required to manage costs to achieve budget
• Thoroughly reviewed financial statements and to correct any discrepancies

• Compiled financial reports pertaining to cash receipts, expenditures and profit and loss
• Performed financial statement audits of security broker dealers for purposes of SEC/FINRA purposes
• Developed new customer relations through telephone contact and sales activity
• Improved communication efficiency as primary liaison between departments, clients and vendors
• Supported CEO through personal document management, calendar organization and collateral preparation for meetings
• Conducted financial and legal research and analysis for high net-worth individuals
• Identified value propositions and key messages for marketing campaigns