Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angelique Johnson

Orlando,FL

Summary

Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases. Skilled Claims Specialist with comprehensive experience in handling, investigating, and settling insurance claims. Strengths lie in proficient communication abilities, keen analytical thinking, and effective problem-solving skills. Previous work has resulted in streamlined operations and improved customer satisfaction rates through successful negotiation and settlement of complex claims. Experienced professional with a strong background in technology-related roles. Proficient in software development, system administration, and technical support. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success.

Overview

6
6
years of professional experience

Work History

Claim Specialist

Florida Blue
Lake Mary, FL
08.2016 - 09.2022
  • Entered claim information accurately into database systems.
  • Determined coverage by examining claim forms and supporting documents.
  • Resolved complex issues associated with denied or underpaid claims through negotiation with payers.
  • Coordinated with healthcare providers to obtain missing information or clarification on claims.
  • Utilized claims processing software to streamline workflow and increase efficiency.
  • Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
  • Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.

Education

Bachelor of Science - Nursing

Valencia College
Orlando, FL
01-2028

Skills

  • Effective communication
  • Regulatory compliance
  • Medical documentation
  • Document review
  • Financial analysis
  • Claims documentation
  • Information verification
  • Policy requirements and eligibility
  • Problem-solving aptitude
  • Adaptability and flexibility
  • Time management abilities
  • Interpersonal communication
  • Analytical skills

Timeline

Claim Specialist

Florida Blue
08.2016 - 09.2022

Bachelor of Science - Nursing

Valencia College
Angelique Johnson
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