Erica Thorpe-Gottung
Duluth,Minnesota
Summary
Seasoned, career minded individual with experience in conflict management seeking a leadership position to utilize past work experience and engage in new challenges. Detail-oriented Examiner with four years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and provider facing claims resolution process.
Overview
11
11
years of professional experience
Work History
Behavioral Health Claims Analyst
Optum
01.2021 - 12.2024
- Experience processing claims in a high volume environment
- Daily prioritization and organization of workload based on urgency and deadlines.
- Data tracking and analysis of claims, locating trends from internal or external sources
- Supports and facilitates other stakeholders and may act as a resource for others
- Assist in complex claims review with providers to resolve claim issues and ultimately facilitate
communication and trust. - Gather data through claims analysis and product/plan knowledge to create large volume projects, and
their SOPs for claims rework. - Identified key areas not performing well and implemented effective, new processes.
Behavioral Health Claims Processor
Mary Kraft Industries
06.2020 - 01.2021
- Excels in processing claims in a high volume claims environment
- Analysis of claims to their resolution, and analysis of supporting processes to identify any trends
- Acquired expertise via claims daily processing, participating in large volume audits, research and using resources.
- Evaluated accuracy and quality of data entered into agency management system.
Customer Service Representative
HCL Technologies
04.2020 - 06.2020
- Provides information and guidance to customers over the phone to ensure their highest customer satisfaction while positively representing the HCL Technologies brand name.
Facility Management Coordinator
American Red Cross
02.2015 - 06.2015
- Organized, trained, and led a small group of volunteers through direct, hands-on mentoring to maintain staff success and workforce development
- Implemented and maintained plans under the guidance of the regional manager to continue effective operation of building necessitates and staff needs.
Office Manager
Quality Computer Service
02.2014 - 02.2015
- Preformed scheduling, billing, order placement, and filing to ensure efficient work environment for company owner, myself, and field technicians
- Communicated with approximately 50 customers daily by phone and in person successfully ensuring customer satisfaction.
Education
Bachelor of Arts - Cultural Anthropology
Arizona State University
12.2019
Skills
- Claims analysis, processing
- Data Interpretation
- Interpersonal and written communication
- Proficient in MS Word, Excel, Outlook
- Relationship Building
- Coaching and Mentoring
- Relationship building
Skillsabilities
Advanced knowledge of OBH Incedo platform, Improved business process as an individual contributor by exceeding daily goals and providing innovative contributions, MS Office proficient, Fosters positive work environment through open communication and collaboration with team members though out the organization, Excellent written and oral communication skills, Empathetic listener, analytical thinker, Engaged in employee development though peer auditing, coaching, and mentoring new hires, Cultivate and deepen customer/provider relationships with honest communication and receptive listening, Facilitates clear working relationships through collaboration and contributing innovative solutions
Timeline
Behavioral Health Claims Analyst
Optum
01.2021 - 12.2024
Behavioral Health Claims Processor
Mary Kraft Industries
06.2020 - 01.2021
Customer Service Representative
HCL Technologies
04.2020 - 06.2020
Facility Management Coordinator
American Red Cross
02.2015 - 06.2015
Office Manager
Quality Computer Service
02.2014 - 02.2015
Bachelor of Arts - Cultural Anthropology
Arizona State University
Similar Profiles
Ashly MillerAshly Miller
Medical Assistant/Phlebotomist at OptumMedical Assistant/Phlebotomist at Optum
Dawnda CookDawnda Cook
Associate Clinical Administrative Coordinator at OptumAssociate Clinical Administrative Coordinator at Optum
Patricia ApodacaPatricia Apodaca
Medical Assistant at OptumMedical Assistant at Optum
Rushik Reddy GangamRushik Reddy Gangam
Software Engineer - Remote at OptumSoftware Engineer - Remote at Optum
Brielle TorkelsonBrielle Torkelson
Receptionist at Hilltop Healthcare, Rehabilitation & Skilled NursingReceptionist at Hilltop Healthcare, Rehabilitation & Skilled Nursing