Diane Taylor
Martinsburg,USA
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
21
21
years of professional experience
Work History
Recovery/Resolution Analyst – Surest
UnitedHealthcare
02.2024 - 04.2025
- Conducted comprehensive root-cause analyses to identify systemic failures and implement strategic remediation plans for complex, escalated provider claim issues.
- Partnered effectively with internal business partners to resolve high-priority provider claim escalations, ensuring alignment and operational efficiency.
- Executed outbound courtesy communications with providers to foster positive relationships and enhance service transparency.
- Ensured seamless end-to-end provider service delivery, prioritizing satisfaction and long-term engagement.
Resolving Analyst – Provider Appeals
UnitedHealthcare
10.2020 - 01.2024
- Analyzed denied health insurance claims.
- Made an appropriate determination to resolve the dispute.
- Composed written correspondence and informed the provider of the determination.
- Complied with applicable laws, regulations, and policies and acted in accordance with the company’s values and principles of ethics and integrity.
Senior Claims Representative
UnitedHealthcare
02.2004 - 09.2020
- Provided support by reviewing, researching, investigating, and processing office, outpatient hospital, durable medical equipment, Medicare, and Medicaid claims.
Education
Bachelor of Science - Social Science with an emphasis in Gerontology
University of Maryland Global Campus
Adelphi, MarylandHigh School Diploma -
American International School
Vienna, AustriaSkills
- Analytical skills
- Attention to detail
- Collaboration
- Communication
- Customer service
- Problem-solving and resolution
- Regulatory compliance
- Root cause analysis
Volunteer Experience
Peaceful Fields Animal Sanctuary, Winchester, VA, 2024 - Present
Timeline
Recovery/Resolution Analyst – Surest
UnitedHealthcare
02.2024 - 04.2025
Resolving Analyst – Provider Appeals
UnitedHealthcare
10.2020 - 01.2024
Senior Claims Representative
UnitedHealthcare
02.2004 - 09.2020
Bachelor of Science - Social Science with an emphasis in Gerontology
University of Maryland Global Campus
High School Diploma -
American International School
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