Detail-oriented claims examiner with over 5 years of experience in evaluating and processing insurance claims, ensuring compliance with regulations and delivering exceptional customer service.
• Process and analyze supplemental health insurance claims to ensure compliance with company policies and regulations. • Review and assess claim documentation for accuracy and completeness.
• Communicate with clients to gather necessary information and resolve claims inquiries.
• Utilize claims management software to document case information and track claim progress.
• Managed end-to-end migration processes for clients, ensuring timely and efficient transitions.
• Facilitated client communication and support during migration phases to ensure a seamless experience.
• Participated in post-migration assessments to evaluate success and implement optimizations.
• Collaborated with cross-functional teams to develop migration strategies and troubleshooting solutions.
• Processed and evaluated auto insurance claims, ensuring compliance with company policies and state regulations.
• Provided exceptional customer service by guiding policyholders through the claims process and addressing concerns.
• Reviewed and analyzed claim les to determine liability and assess damages for accurate settlements.
• Utilized claims management software to track and document the progress of each claim, ensuring timely resolution.