Briashia Pratt
Columbia,SC
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
8
8
years of professional experience
Work History
Claims Processor
Blue Cross Blue Shield Of South Carolina
02.2020 - 04.2024
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
Tier 1 Technical Support Representative
Conduent
01.2019 - 02.2020
- Conducted comprehensive diagnostic tests to pinpoint underlying causes of reported issues.
- Reduced call resolution time by effectively troubleshooting software and hardware problems.
- Managed multiple priorities simultaneously while maintaining focus on delivering exceptional customer service.
- Enhanced customer satisfaction by efficiently resolving technical issues and providing clear explanations.
Insurance Claims Processor
Assurant Mortgage Solutions
08.2016 - 12.2018
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Maintained strict adherence to industry regulations and internal policies when evaluating coverage eligibility for each claim submission.
- Maximized claim efficiency by thoroughly reviewing and analyzing insurance claims.
Education
Associate of Science - Medical Coding
Florence-Darlington Technical College
Florence, SC05.2021
Bachelor of Science - Biology
South Carolina State University
Orangeburg, SC05.2017
High School Diploma -
Lake City High School
Lake City, SC05.2013
Skills
- Claims review
- Accuracy and Precision
- Transactions reconciliation
- Claims
- Claims Processing Software
- Insurance Regulations Understanding
- Technical aptitude
- Data entry proficiency
- Medical terminology knowledge
- Critical Evaluation
- Attention to Detail
- Records Management
- Data Entry
- Microsoft Office
- Billing Software
- Insurance Coverage Verification
- Documentation skills
- Patient Rapport
- Paperwork Processing
Timeline
Claims Processor
Blue Cross Blue Shield Of South Carolina
02.2020 - 04.2024
Tier 1 Technical Support Representative
Conduent
01.2019 - 02.2020
Insurance Claims Processor
Assurant Mortgage Solutions
08.2016 - 12.2018
Associate of Science - Medical Coding
Florence-Darlington Technical College
Bachelor of Science - Biology
South Carolina State University
High School Diploma -
Lake City High School
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