Seeking a career with a progressive organization that will utilize my skills, knowledge and experience while I demonstrate a high level of professionalism and superior customer service.
Overview
10
10
years of professional experience
Work History
Claims Representative II
Elevance Health
08.2022 - Current
Worked productively in fast-moving work environment to process 100+ claims daily.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
Utilization Management Representative
Elevance Health
06.2014 - 08.2022
Served as a liaison between patients, healthcare providers, and insurance companies to facilitate timely approvals of necessary treatments.
Performed prior authorization review of services requiring notification.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Education
High School Diploma - General Studies
Lewis Wallace High School
Gary, IN
06.1996
Skills
High level of accuracy with strong attention to detail
Positive attitude with exceptional verbal and written communication skills
Advanced experience with all Microsoft Office programs
Great set of core values demonstrating integrity and diversity