Amanda Bone
Amarillo,TX
Summary
Driven professional with a proven track record in claims management and organizational abilities, honed at Fairly Group and Insurance Management Services. Excelled in enhancing operational workflows and claims processing accuracy, leveraging expertise in Excel and critical thinking. Demonstrated exceptional customer service, ensuring efficient problem resolution and decision-making in fast-paced environments. Highly organized, self-motivated and proficient with computers. Operates well within a team and as an individual to meet demanding objectives. Able to learn new tasks quickly and have strong multitasking abilities.
Overview
19
19
years of professional experience
Work History
Workers' Compensation Claims Review / Processing
Fairly Group
02.2016 - 01.2023
- Checked documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Generated, posted and attached information to claim files.
- Communicated with MLB clubs daily to discuss the Work Comp with each injured player and/or employee.
- Reviewed HCFA and UB02 claims forms to make sure the provider/hospital billed correctly. Once this was determined, I then sent the bill for repricing and payment to be issued.
- Incoming and outgoing phone calls to the clubs, providers, collection agency, et.
Prospecting Coordinator & Provider Maintenace
Insurance Management Services
03.2004 - 07.2015
- Entered data, generated reports, and produced tracking documents.
- Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
- Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
- Gathered and organized materials to support operations.
- Prepared group health insurance proposals for the Vice President of the company.
Education
High School Diploma -
River Road High School
Amarillo, TX 7910805.2000
Skills
- Claims Management Expertise
- Organizational abilities
- Policy Interpretation
- Claims Management
- Detail Oriented
- Critical Thinking
- Complex Problem Solving
- Judgement and Decision Making
- Time Management
- Goal Oriented
- Excel
- Microsoft Operating Systems
- Delivery of Office Supplies
- Customer Service Oriented
Timeline
Workers' Compensation Claims Review / Processing
Fairly Group
02.2016 - 01.2023
Prospecting Coordinator & Provider Maintenace
Insurance Management Services
03.2004 - 07.2015
High School Diploma -
River Road High School
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