Summary
Work History
Education
Skills
Timeline
Generic

Erica West

Pleasanton

Summary

Results-driven Claims Examiner at Clarity Performance Solutions, adept at claims analysis and regulatory compliance. Enhanced workflow efficiency, reducing processing time significantly. Demonstrated exceptional attention to detail and effective communication skills while maintaining confidentiality and accuracy in data evaluation. Proven ability to solve complex problems collaboratively within cross-functional teams.

Work History

Claims Examiner

Clarity Performance Solutions
  • Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
  • Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
  • Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
  • Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.

Education

Nursing

Fort Scott Community College
Fort Scott, KS

Skills

  • Claims analysis
  • Regulatory compliance
  • Data evaluation
  • Workflow optimization
  • Customer service
  • Attention to detail
  • Effective communication
  • Problem solving
  • Time management
  • Confidential information
  • Data verification

Timeline

Claims Examiner

Clarity Performance Solutions

Nursing

Fort Scott Community College
Erica West