Summary
Overview
Work History
Education
Skills
Timeline
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Barbara DeSimone

Broken Arrow,OK

Summary

Dynamic Senior Claims Specialist with a proven track record at HCSC, adept in claims management and investigation, showcasing exceptional problem-solving and teamwork skills. Elevated efficiency by establishing key liaison roles and handling complex claims, significantly reducing pend codes. Proficient in claims and demonstrating unparalleled attention to detail and critical thinking.

Overview

19
19
years of professional experience

Work History

Senior Claims Specialist

HCSC
10.2023 - Current

Establish new position as liaison between technicians and coordinators. Alleviate several pend codes from reaching the coord level.

Senior Claims Technician

HCSC
04.2016 - 10.2023

Processed more complex claims and performed

manual calculations. Worked management reports and special projects.

Claims Technician

HCSC
10.2005 - 04.2016

Adjudicate claims, routed medical records, and increased efficiency and quality year over year

Education

Business Administration

Northeastern State University
Tahlequah, OK

Business

NEO A&M
Miami, OK

Skills

  • Claims Management Expertise
  • Insurance policy knowledge
  • Investigative abilities
  • Legal Compliance
  • Claims Investigation
  • Claims analysis
  • Insurance knowledge
  • Teamwork and Collaboration
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Problem-solving abilities
  • Multitasking Abilities
  • Critical Thinking
  • Computer Skills

Timeline

Senior Claims Specialist

HCSC
10.2023 - Current

Senior Claims Technician

HCSC
04.2016 - 10.2023

Claims Technician

HCSC
10.2005 - 04.2016

Business Administration

Northeastern State University

Business

NEO A&M

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Barbara DeSimone