Senior Claims Analyst with deep knowledge of medical and dental claims industry. Solid abilities in developing objectives and strategies to settle medical claims. Excellent skills compiling, coding, categorizing and auditing information to process claims. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
13
13
years of professional experience
Work History
Senior Claims Analyst
NTT Data
10.2023 - Current
Reduced claim processing time by streamlining workflow and implementing efficient case management strategies.
Increased accuracy in claims assessment through thorough investigation and diligent documentation of claim details.
Improved customer satisfaction by consistently resolving complex claims in a timely and professional manner.
Managed high-volume caseloads for optimal productivity while maintaining strict attention to detail.
Coordinated with other departments to ensure seamless integration of new policies and procedures, minimizing disruption to ongoing operations.
Handled escalated claims-related issues professionally, working diligently towards resolution while maintaining strong relationships with both clients and providers alike.
Provided exceptional support during audits by supplying detailed records of claim transactions as needed, ensuring full transparency into department operations.
Owner/Operator
Casey Millett Photography
01.2019 - Current
Managed day-to-day business operations.
Consulted with customers to assess needs and propose optimal solutions.
Planned and prepared for on-location and studio shoots.
Edited, toned, captioned and uploaded photographs for publication.
Provided excellent customer service and account regulation, strengthening client relations and boosting revenue.
Photographed high-quality images for various print and digital projects.
Performed advanced computer processing of images for assignments.
Managed correspondence with clients, documented interactions and tracked data transfers with manual and automated strategies.
Increased production rates by regulating workflow to meet consumer needs.
Recruiter
Pro Unlimited
10.2021 - 04.2022
Evaluated dental providers candidates through effective screening processes.
Operated and maintained applicant tracking and candidate management systems.
Verified applicant references and employment details.
Tracked candidates and pushed for feedback on disqualifications, time-to-fill statistics and other variables.
Administrative Assistant
New Beginnings Counseling & Consulting
09.2018 - 12.2019
Working remotely and independently for a thriving psychiatrist
Compile and record medical charts, reports, or correspondence, using personal computer
Complete insurance or other claim forms
Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records
Review insurance policy to determine coverage
Prepare insurance claim forms or related documents and review them for completeness
Post or attach information to claim file
Transmit claims for payment or further investigation
Compile, sort and verify the accuracy of data before it is entered
Protect the security of medical records to ensure that confidentiality is maintained
Contact insured or other involved persons to obtain missing information
Quality-oriented professional with 9.5+ Store completed documents in appropriate locations
Director - Cloud & Infrastructure Services at NTT DATA Services (Previously NTT/Netmagic)Director - Cloud & Infrastructure Services at NTT DATA Services (Previously NTT/Netmagic)
Service Desk Analyst / Acting Shift Lead at NTT GDC India Private Limited / NTT DataService Desk Analyst / Acting Shift Lead at NTT GDC India Private Limited / NTT Data