Anna Mosakowski
Marion,IA
Summary
Experienced insurance professional with 14-year career assessing medical claims for commercial and employer funded plans. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handles large case volumes with accuracy and care.
Overview
35
35
years of professional experience
Work History
Claims Examiner
Auxiant
Cedar Rapids, IA
06.2023 - Current
- Analyzed customer complaints, identified root causes of problems, and developed corrective action plans.
- Managed workloads efficiently by prioritizing tasks based on urgency or importance.
- Tracked progress of pending cases through manual follow-up or automated systems.
- Investigated discrepancies in claims and resolved issues with customers via telephone or written correspondence.
- Interpreted policy language contained within contracts between providers and payers.
- Documented claim actions and decisions thoroughly for audit purposes.
- Provided excellent customer service, resolving claimant concerns and queries promptly.
- Obtained necessary information to complete proper evaluation of medical claims.
Administrative Assistant
Guardian Life Insurance (via temp agency)
Philadelphia, PA
08.2021 - 03.2023
- Writing letters and called providers to obtain information for case managers, trained new temps, processed check requests and reassigned tasks to case managers
Office manager
H & R Block
11.2020 - 04.2021
- Managed front desk operations including scheduling appointments, greeting visitors, supervised staff, delegated tasks, resolved customer inquiries in a timely manner while maintaining a positive relationship.
Office manager
Lazy Man Manufacturing, Inc.
06.2015 - 12.2018
- Office manager, customer service, receptionist, attendance, payroll, booked freight shipments.
Customer Service Representative/Claims Adjuster
United HealthCare
Utica, NY
07.1989 - 07.1999
- Claim adjuster for a large group client, call center representative and trainer.
Education
Business Management
Syracuse University
Skills
- Superior customer service
- Administrative experience
- Highly organized and able to multitask
- Creative in oral and written communication
- Claim examiner
- Critical thinker
Timeline
Claims Examiner
Auxiant
06.2023 - Current
Administrative Assistant
Guardian Life Insurance (via temp agency)
08.2021 - 03.2023
Office manager
H & R Block
11.2020 - 04.2021
Office manager
Lazy Man Manufacturing, Inc.
06.2015 - 12.2018
Customer Service Representative/Claims Adjuster
United HealthCare
07.1989 - 07.1999
Business Management
Syracuse University