Top-notch Insurance Quality Auditor with solid background in evaluating and inspecting wide range of industrial products. Offers strong understanding of industry standards and regulations. Collaborative and committed to accurate and efficient work.
Overview
6
6
years of professional experience
Work History
High Dollar Auditor
ANTHEM Health Services
07.2021 - Current
Investigated and audited discrepancies by applying member benefits and ensuring processes were followed.
Working knowledge of a plethora of specialized insurance groups and benefits.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Managed workload and priorities to meet high impact deadlines.
Claims Processor
ANTHEM Health Services
03.2018 - 07.2021
Utilized specialized software to process incoming claims, enter data and generate reports.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
Managed workload and priorities to meet claims processing meet deadlines.