
Detail-oriented Insurance Adjuster with specialized experience in supplemental health claims administration and adjudication. Proven expertise in evaluating policyholder submissions, verifying coverage eligibility, interpreting complex insurance policies, and processing benefits in compliance with insurer guidelines and HIPAA regulations. Skilled in coordinating with medical providers, resolving claims accurately and efficiently, and delivering empathetic, customer-focused service in high-volume environments. Successfully managed caseloads of up to 150 active claims simultaneously while prioritizing newly generated claims to ensure coverage determinations were completed within 7 business days. Recognized for maintaining accuracy, regulatory compliance, and operational efficiency under demanding workloads. Proficient in claims management systems, policy analysis, and insurer protocols, with authorization to work in the United States for any employer.