Summary
Overview
Work History
Education
Skills
Timeline
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GARRETT GRAHAM

Rosemount,MN

Summary

Insurance operations professional with experience managing complex, multi-state account processes, ensuring compliance, reducing financial risk, and delivering reliable service within established SLAs.

Overview

8
8
years of professional experience

Work History

CLAIMS PAYMENT ANALYST

Gravie - Health Insurance Company
Minneapolis, MN
11.2023 - Current
  • Managed end-to-end recoupment and payment recovery operations, ensuring accuracy, compliance, and timely resolution
  • Optimized workflows to increase payment recovery efficiency and reduce operational delays
  • Generated weekly KPI reports to monitor performance and identify improvement opportunities
  • Built weekly reports to track recovery activity and enhance payment reconciliation
  • Collaborated with external business partners to resolve payment discrepancies and support smooth transaction processing
  • Developed detailed process documentation and workflow guides to standardize operations, support compliance, and improve team training
  • Analyzed and resolved ad hoc transaction and payment issues, including cancellations and file corrections, minimizing financial risk

CLAIMS PAYMENT COORDINATOR

Gravie
Minneapolis, MN
07.2023 - 11.2023
  • Managed weekly Stop-Loss funding report by extracting data and coordinating with cross-functional teams to ensure completeness and accuracy.
  • Processed high-volume, multi-state claims in compliance with regulatory guidelines and internal standards, maintaining strong quality and timeliness
  • Performed manual pharmacy claim entry with a focus on accuracy and data integrity.
  • Audited account transactions using multiple reports to ensure consistency and correctness.
  • Reviewed monthly claim payment reports to identify and resolve discrepancies.

PHYSICAL THERAPY AIDE

Cora Physical Therapy
Spooner, WI
06.2022 - 08.2022
  • Assisted with therapeutic services including gait, balance and strength training.
  • Responsible for creating ~10 detailed patient progress reports daily
  • Taught patients stretching techniques and proper use of equipment
  • Supervised patients during work and sport simulations
  • Provided excellent customer service to 14-20 patients a day
  • Analyzed patient progress and data

SEASONAL UTILITIES MAINTENANCE WORKER

City of Eagan
Eagan, MN
05.2018 - 08.2021
  • Collaborated with coworkers to perform sewage system evaluations using SL-RAT technology
  • Maintained and repaired 15-25 fire hydrants a day
  • Located residential water shut-off valves
  • Utilized Eos Arrow GPS unit to record locations of water shut-off valves

Education

BACHELOR'S OF SCIENCE - Kinesiology

University of Minnesota-Twin Cities
Minneapolis, MN
12-2022

Skills

    Windows and Mac OS Systems, Microsoft Excel (VLOOKUP, PivotTables, basic formulas), Data Reconciliation, Report Generation & Analysis, Claims Processing Systems, Payment Recovery & Recoupment, Claims Auditing & Review, Financial Transaction Monitoring, Process Documentation

Timeline

CLAIMS PAYMENT ANALYST

Gravie - Health Insurance Company
11.2023 - Current

CLAIMS PAYMENT COORDINATOR

Gravie
07.2023 - 11.2023

PHYSICAL THERAPY AIDE

Cora Physical Therapy
06.2022 - 08.2022

SEASONAL UTILITIES MAINTENANCE WORKER

City of Eagan
05.2018 - 08.2021

BACHELOR'S OF SCIENCE - Kinesiology

University of Minnesota-Twin Cities