Amy Cravens
Ripley
Summary
Results-driven Claims Processor III at CareFirst with expertise in claims processing and a keen attention to detail. Proven ability to enhance accuracy and expedite claim resolutions through effective team collaboration and analytical thinking. Skilled in training new employees, ensuring compliance, and maintaining high standards in a fast-paced environment.
Overview
23
23
years of professional experience
Work History
Claims Processor III
CareFirst
Charleston
06.2002 - Current
- Reviewed insurance claims for accuracy and completeness, ensuring compliance with regulations.
- Processed high volumes of claims documentation using designated software systems.
- Collaborated with team members to expedite timely processing of incoming claims.
- Assisted in resolving discrepancies within claim submissions to enhance accuracy.
- Adhered to company policies during evaluations of claims to maintain standards.
- Provided training and technical guidance to new staff on processing procedures.
- Maintained accurate records of processed claims according to departmental requirements.
- Executed follow-ups on pending claims to resolve processing delays.
Education
High School Diploma -
Ritchie County High School
Harrisville, WV05-1993
Some College (No Degree) - English
Fairmont State University
Fairmont, WVSome College (No Degree) - English
West Virginia University
Morgantown, WVSome College (No Degree) - English
West Virginia University
Parkersburg, WVSkills
- Claims processing
- Data entry
- Team collaboration
- Employee training
- Time management
- Analytical thinking
- Attention to detail
- Effective communication
- Customer service
Affiliations
- Processing claims with exceptional accuracy and timeliness for a wide variety of claims and different plans(Nebraska, Arizona and North Carolina.) . I was a leading helper for the Overseas Department.
Accomplishments
- I won and have been a top contributor for my FEP claims department as well as the Arizona plan and the Overseas department.
Timeline
Claims Processor III
CareFirst
06.2002 - Current
High School Diploma -
Ritchie County High School
Some College (No Degree) - English
Fairmont State University
Some College (No Degree) - English
West Virginia University
Some College (No Degree) - English
West Virginia University
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