Antranique Washington

Facilitates account reconciliation activities to include:
• coding invoices and other records to maintain organizational integrity and accuracy.

• balancing batches and
  ensuring premiums are correctly posted in support of departmental quality initiatives to include Process
  payments by refunding, forgiving, or asking for premium to clear lines of suspense.
• Confirms invoice status codes, reviews all adjustment codes and notes provided by payroll account on the invoice and regularly and effectively communicates with additional stakeholders, i.e. Account Manager, Client Manager, Broker to insure all servicing issues are addressed in a timely and consistent manner
• Subject Matter Expert for PAC (Payment Authorized Checking)

• Implemented quality control objectives, actions and procedures to resolve production issues, optimize product
  reliability and reduce costs.
• Monitored product quality performance and created reports indicating the effectiveness of the quality management system in achieving identified goals.
• Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
• Created communication strategies
  to meet client objectives

Managed the claims adjudication process by serving as the first step in the claims verification process:
• Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.

• assessed processing reports each day to effectively submit claims and handled task associated with processing
  insurance claims.
• Ensured all tasks were completed in compliance and within regulatory guidelines.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.