Brittni Keskitalo
Sanford,FL
Summary
Claims specialist with results-driven mindset and focus on efficient claims processing and resolution. Skilled in analyzing complex claims, with strong emphasis on team collaboration and adapting to changing needs. Known for reliability, attention to detail, and delivering consistent outcomes in high-pressure environments.
Overview
1
1
year of professional experience
Work History
Claims Benefit Specialist
Aetna, CVS Health
12.2023 - Current
- Experience with HRP, RUMBA, EWM, EPDB, Quickbase, ECHS and IOP.
- Experience with DSNP, Medicare, Member Reimbursement and Dental Claims
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Identified trends in claims data to proactively address potential issues affecting benefit payouts or customer satisfaction levels.
- Processed high volumes of medical and dental claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Improved claim processing efficiency by accurately reviewing and analyzing dental claims for payment.
- Supported department goals through consistent achievement of productivity benchmarks and quality metrics in claim processing.
Education
Biology
Grand Valley State University
Allendale, MI08-2011
Skills
- Claims processing
- Data analysis
- Workflow improvement
Timeline
Claims Benefit Specialist
Aetna, CVS Health
12.2023 - Current
Biology
Grand Valley State University
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