Claims Representative
Health Care Service Corporation- Blue Cross Blue Shield of IL
08.2020 - 02.2022
- Worked productively in fast-moving work environment to process large volumes of claims.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Maintained accurate and up-to-date records of claim information for future reference.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Spent approximately 90% of work schedule adjusting claims