Becky Bongiovanni
Claims Analyst
Macomb,MI
Summary
Joined CSC/DXC in April 2015 as a Professional Claims Analyst handling disability insurance claims for Jackson National and SwissRe. In February 2017, transitioned to Life and Annuity claims for WiltonRe, Global Atlantic and Ameritas. Superbly positioned to investigate, evaluate, and settle Life and Annuity claims. Excellent abilities to decipher fraudulent activities, analyze data, and communicate with claimants/beneficiaries to gain details for processing claims.
Before joining DXC, worked as a patient care technician and medical biller for a private physician’s office.
Overview
12
12
years of professional experience
Work History
Associate Claims Examiner
DXC Technology
, MI
02.2017 - Current
- Use of Automated Work Distribution (AWD), cmA/uniA, Cyberlife, wmA.
- Analyze and adjudicate Life and Annuity claims.
- Send written correspondence to claimants for requirements to determine eligibility of benefits.
- Verbal and written communication with claimants regarding claim status.
- Examined claims forms and other records to determine insurance coverage.
- Organized, planned, and documented materials for Death claims.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Answered questions posed by insured and attorneys.
Professional Claims Analyst-Disability Income
CSC
Southfield, MI
04.2015 - 02.2017
- Receive phone calls regarding first notice of loss from claimants.
- Analyze and adjudicate individual disability claims.
- Handle 300+ stable and mature claims.
- Send written correspondence to claimants for requirements of eligibility of disability.
- Review medical records, financial records, and occupational duties to determine eligibility of disability pursuant to policy verbage.
- Use of Automated Work Distribution (AWD), Cyberlife and Riskmaster.
- Interview or correspond directly with claimants, employers, physicians, expert consultants, and others to properly investigate claim payment, denial or review.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Patient Care Technician/Medical Biller
Great Lakes Physiatrists, P.C
St. Clair Shores, MI
10.2009 - 03.2015
- Leader in transition of paper to electronic records in compliance with Affordable Care Act.
- Efficient in medical billing, medical terminology, ICD-9, and CPT coding.
- Liaison to diversified patient population and physicians.
- Schedule appointments, obtain insurance referrals, diagnostic imaging referrals.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Reviewed outgoing bills for eligibility and accurateness.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
Education
Bachelor of Science - Community Development, Health Sciences Becky
Central Michigan University
08.2005 - 08.2014
Skills
Insurance policy coverage knowledge
undefinedTimeline
Associate Claims Examiner
DXC Technology
02.2017 - Current
Professional Claims Analyst-Disability Income
CSC
04.2015 - 02.2017
Patient Care Technician/Medical Biller
Great Lakes Physiatrists, P.C
10.2009 - 03.2015
Bachelor of Science - Community Development, Health Sciences Becky
Central Michigan University
08.2005 - 08.2014
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