Claudia Shields
Cottonwood Heights,UT
Summary
Dynamic Legal Claims Manager at Flickinger Boulton Robson Weeks, adept at claims analysis and settlement negotiations. Successfully enhanced client satisfaction through timely resolutions and effective communication. Proven ability to manage complex claims while demonstrating critical thinking and professionalism, consistently exceeding client expectations and achieving fair outcomes. Previously worked as a case manager followed by a litigation paralegal position.
Overview
5
5
years of professional experience
Work History
Legal Claims Manager
Flickinger Bounton Robson Weeks
01.2020 - 05.2025
- Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
- Streamlined communication between attorneys and clients to reach desired income.
- Enhanced client satisfaction with timely and accurate claims resolutions.
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
- Documented and communicated timely claims information while supporting accurate outcomes.
- Negotiated settlements with claimants, achieving fair outcomes while controlling costs.
- Interacted with Medicare, Medicaid, and various health insurance companies to resolve the client's medical debt.
- Utilized advanced software tools to efficiently manage large caseloads and track progress on individual cases.
- Determined proper course of action for claims processing.
- Analyzed claims data, identifying unclaimed charges and submitting supporting evidence to remove said claims with high success rate.
- Exceeded clients' expectations to compassionately address their concerns regarding their medical debts.
Education
Accounting
Mexican School of Technology
Mexico01-1997
Skills
- Claims analysis
- Claims investigation and research
- Policy interpretation
- Procedure implementation
- Investigation techniques
- Legal compliance
- Customer expectations management
- Expense control
- Teamwork and collaboration
- Problem-solving
- Problem-solving abilities
- Attention to detail
- Claims investigation
- Critical thinking
- Computer skills
- Decision-making skills
- Decision-making
- Claims evaluation
- Analytical thinking
- Goal setting
- Risk assessment
- Professionalism
- Complex Problem-solving
- Settlement negotiations
Websites
Languages
Spanish
Native or Bilingual
English
Full Professional
Portuguese
Native or Bilingual
Timeline
Legal Claims Manager
Flickinger Bounton Robson Weeks
01.2020 - 05.2025
Accounting
Mexican School of Technology
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