Summary
Overview
Work History
Education
Skills
Timeline
Hi, I’m

Brittany Sapp

Tampa,FL

Summary

Personable and dedicated professional offering 8+ years of various claims experience and a willingness to take on any challenge.

Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.

Overview

8
years of professional experience

Work History

Jacobson Group (Guardian)
Tampa, FL

Claims Management Specialist
06.2021 - 01.2023

Job overview

  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Reviewed claims for accuracy before submitting for billing.
  • Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
  • Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
  • Used contract notes and processing manual to correctly apply group-specific classifications to claims.
  • Prepared and reviewed insurance-claim forms and related documents for completeness.

IOS Staffing (Loomis)
Tampa, FL

Health Claims Processor
04.2021 - 01.2022

Job overview

  • Reviewed claims for accuracy before submitting for billing.
    Inputted data into the system, maintaining accuracy of provider coding information and reported services.
  • Input data into the system, maintaining accuracy of provider coding information and reported services.
  • Base payment or denials of medical claims upon well-established criteria for claims processing.
  • Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
  • Communicated with providers to answer questions and address complaints.
  • Analyzed contracts and claim systems to apply appropriate benefit amounts.

Sedgwick CMS
Tampa, FL

Disability Claims Examiner
10.2017 - 11.2019

Job overview

  • Paid and processed variety of claims, including Fast track and Complex.
  • Reviewed medical documentations necessary to support claim for processing within appropriate timeframe.
  • Conducted daily reviews on claim files and verified status sending letters to policyholders and claimants.
  • Communicated with physicians to confirm medical treatment rendered.
  • Sent clinical request and missing information letters to obtain incomplete information.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Examined claims, records and procedures to grant approval of coverage.

Liberty Mutual

Client Intake Coordinator
06.2015 - 10.2017

Job overview

  • Investigated insurance policies to determine claim eligibility and processed files in accordance with instructions.
  • Obtained information from employees regarding claims through a primary intake method.
  • Provided direct guidance and assistance to employees regarding processing procedures.
  • Transmitted reports and messages to branch offices and HR as required.
  • Acted as a liaison between HR management and employees for routine information and reports

Education

C. Leon King HS
Tampa, FL

High School Diploma
06.2011

University Overview

Skills

  • Health Insurance Claims Management
  • Google Suites, MS Office 365, Citrix, Salesforce, Zendesk
  • Medical/ Insurance terminology
  • Verbal and Written Communication
  • Computer Proficient
  • Data Entry
  • Multitasking, Detailed Oriented
  • Critical Thinking

Timeline

Claims Management Specialist
Jacobson Group (Guardian)
06.2021 - 01.2023
Health Claims Processor
IOS Staffing (Loomis)
04.2021 - 01.2022
Disability Claims Examiner
Sedgwick CMS
10.2017 - 11.2019
Client Intake Coordinator
Liberty Mutual
06.2015 - 10.2017
C. Leon King HS
High School Diploma

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Brittany Sapp