Danielle Ferreira
Yucaipa
Summary
Dynamic Claims Resolution Specialist with a proven track record at Zinnia Health, excelling in claims processing and policy investigations. Leveraged coding expertise and critical thinking to enhance claims processing efficiency and foster strong relationships. Demonstrated exceptional communication skills, ensuring effective problem resolution.
Overview
8
8
years of professional experience
Work History
Claims Resolution Specialist
Zinnia Health
08.2022 - Current
- Explained policy coverage, liability and denials to policyholders, lawyers, and other involved parties.
- Collected information about rejected claims and developed effective solutions.
- Investigated issues to determine appropriate coverage and liability for claims.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Researched claims and incident information to deliver solutions and resolve problems.
- Documented information gathered in field and uploaded data to company database for efficient processing using collaborate MD
Server
BJ's Brewhouse
01.2017 - 08.2022
- Explained menu items and suggested appropriate options for food allergy concerns.
- Worked with POS system to place orders, manage bills, and handle complimentary items.
- Cultivated warm relationships with regular customers.
- Learned and followed local alcohol laws to keep restaurant compliant with regulations.
- Followed health and safety protocols crucial for maintaining safe and sanitary environments for customers and staff.
- Served food and beverages promptly with focused attention to customer needs.
- Resolved customer complaints promptly and professionally to maintain positive reputation.
- Utilized communication practices with kitchen staff to deliver customer meals in timely manner.
Education
High School Diploma -
Somers High School
Somers, CT06.2007
Skills
- Coding expertise
- Customer Relations
- Policy Knowledge
- Billing management
- Claims Investigation
- Billing Procedures
- Claims Evaluation
- Policy coverage understanding
- Critical Thinking
- Active Listening
- Relationship Building
- Policy investigations
- Excellent Communication
- Team building
Timeline
Claims Resolution Specialist
Zinnia Health
08.2022 - Current
Server
BJ's Brewhouse
01.2017 - 08.2022
High School Diploma -
Somers High School
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