Andrea Radosevich
Seminole,FL
Summary
Flexible professional known for being proficient in software and having exemplary customer service skills. Smart Medical Claims Processor assessing claims and assigning payment dependent upon established criteria.
Overview
7
7
years of professional experience
Work History
Medical Claims Adjuster
Allstate Corp
Seminole, FL
10.2015 - 01.2022
- Analyzed medical claims for accuracy, completeness, and compliance with company policies and procedures.
- Performed quality assurance reviews of submitted insurance claims prior to payment approval.
- Verified that payments were made according to contracted terms between provider and insurer.
Claims Processor
Allstate Corp
St. Petersburg, Florida
04.2015 - 10.2015
- Documented decisions on each claim based on research findings and applicable benefit plans.
- Performed quality assurance reviews on completed work to ensure compliance with standards.
- Applied knowledge of coding systems such as CPT-4 and HCPCS codes for proper reimbursement.
Education
Bachelor of Arts - Mass Communication
University of South Florida
Tampa, FL12-2012
Skills
- Strong analytical skills
- Conflict resolution techniques
- Effective communication abilities
- Medical terminology proficiency
- Organizational abilities
- Claim validity determination
- Medical Terminology
- Insurance Claims
- Insurance claims processing
- Critical Decision-Making
- Telephone Etiquette
Timeline
Medical Claims Adjuster
Allstate Corp
10.2015 - 01.2022
Claims Processor
Allstate Corp
04.2015 - 10.2015
Bachelor of Arts - Mass Communication
University of South Florida