Geri Masalewicz
Cudahy
Summary
Dynamic professional with extensive experience at Meritain Health, excelling in mentorship and claims management. Proven leadership in enhancing mentee performance through personalized guidance and fostering self-confidence. Skilled in analytical evaluation of claims, ensuring accuracy and compliance, while promoting teamwork and collaboration to achieve organizational goals.
Overview
36
36
years of professional experience
Work History
Mentor/Review Specialist
Meritain Health an Aetna
09.2019 - Current
- Served as a role model for professionalism, integrity, and dedication within the mentorship program environment.
- Enhanced mentee performance by providing personalized guidance and support.
- Served as role model for mentees by demonstrating strong values and ethical standards.
- Guided mentees in overcoming challenges by sharing personal experiences and offering practical advice.
- Assisted mentees in developing self-confidence and positive self-image.
- Offered constructive feedback on mentee progress, enabling them to refine their skills and enhance their potential.
- Monitored mentee performance consistently, identifying areas of improvement and adjusting mentorship approaches accordingly.
- Empowered mentees to take responsibility for their learning and development, fostering self-confidence and resilience.
Claims Examiner
Meritain Health an Aetna
01.2017 - 09.2019
- 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.
- Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
Claims Processor
Assurant Health
08.1989 - 05.2016
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
- Reduced claim processing time for faster customer service and improved satisfaction rates.
- Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
Education
Associate of Science - Medical Secretary
Milwaukee Area Technical College
Milwaukee, WI08-1982
Skills
- Teamwork and collaboration
- Effective leadership
- Team collaboration
- Organization
- Positive reinforcement
- Skill development
- Progress monitoring
- Direct supervision
Timeline
Mentor/Review Specialist
Meritain Health an Aetna
09.2019 - Current
Claims Examiner
Meritain Health an Aetna
01.2017 - 09.2019
Claims Processor
Assurant Health
08.1989 - 05.2016
Associate of Science - Medical Secretary
Milwaukee Area Technical College
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