Amina Wali
Cigna
Irmo,SC
15
years of professional experience
Results-driven Senior Claims Processor with a proven track record in streamlining workflows and enhancing operational efficiency. Skilled in problem-solving and team collaboration, ensuring compliance and accuracy in claims processing.
Work History
Senior Claims Processor
13 Years 8 Months- Led team initiatives to streamline claims processing workflows, enhancing operational efficiency.
- Processed complex claims to ensure compliance with Cigna's policies and regulatory requirements.
- Analyzed claim discrepancies to identify root causes and implement corrective actions.
- Mentored junior processors on best practices for accurate data entry and claim resolution.
- Collaborated with cross-functional teams to address customer inquiries and resolve escalated issues.
- Implemented process improvements resulting in reduced turnaround time for claim adjudication.
- Posted payments to accounts and maintained records.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
FMLA Claims Specialist
8 Months- Facilitated FMLA claims processing, ensuring compliance with regulations and company policies.
- Reviewed documentation for accuracy, minimizing errors and expediting claim resolutions.
- Evaluated and processed workers' compensation claims to ensure accuracy and compliance with regulations.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Education
High School Diploma
Skills
HIPAA compliance
ICD-10 coding
Claims scheduling
Payments posting
Insurance regulations
Data entry
Accuracy skills
Performance metrics
Analytical skills
Critical thinking
Problem-solving
Attention to detail
Microsoft office
Computer proficiency
Customer service
Team collaboration
Strong communication skills
Communication skills
Timeline
Senior Claims Processor
Cigna
01.2013 - CurrentRead More
FMLA Claims Specialist
Metlife
08.2011 - 04.2012Read More
Longmeadow High School
High School Diploma
Read More