Emily Tschopp
Gallagher Bassett Services Inc.
Philadelphia,PA
6
years of professional experience
Dedicated Medical Only Claims Adjuster with a Texas jurisdiction license, experienced in analyzing complex claims and collaborating with clients. Proven strengths in critical thinking and workflow management, aiming to streamline processes and enhance client satisfaction.
Work History
Medical Only Claims Adjuster
5 Years 7 Months- Analyzed claims to determine coverage and/or indemnity, ensuring compliance with company policies.
- Reviewed documentation and evidence, identifying discrepancies to mitigate potential losses.
- Examined claims forms and other records to determine insurance coverage.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Managed a caseload of medical-only workers' compensation claims from initial report through resolution,m ensuring timely and accurate claim handling.
- Review medical records, treatment plans, bills, and supporting documentation to evaluate compensability and ensure appropriate benefits were administered.
- Skilled in GB's systems.
Education
Skills
Critical thinking
Claims investigation
Active listening
Highly motivated
Claims processing
Caseload management
Best practices implementation
Texas claims adjuster license
Innovation and creativity
Risk management
Medical coding
Multitasking and organization
Empathy and patience
Timeline
Medical Only Claims Adjuster
Gallagher Bassett Services Inc.
01.2021 - CurrentRead More
St. Huberts Catholic High School For Girls
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