Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Successful at reviewing suspicious activities and uncovering fraud. Excellent reporting and documentation skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Knowledgable and dedicated customer service professional with extensive experience in health insurance industry. Solid team player with positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic, and results-oriented with exemplary passion for developing relationships, cultivation partnerships and growing businesses. Hard working, self sufficient, highly motivated team player with 32 years in the health insurance industry. Easily adjusts to changes in workplace environment and procedures. Microsoft Office, Microsoft Word, Excel. Proficient in medical terminology, contract language and state mandates. Processed claims in AS400 and RIMS settings. Quality Control. Proficient in medical terminology, contract language and state mandates. ICD-10. Insurance Verification. Medical Records. ICD-9. Improvement recommendations. Deductive reasoning. Data Analysis. Consultative support. Quality Processes. Call monitoring. Quality Assurance. Atliassan. Verint. Five9