Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

GIDEON OKYERE

Dumfries,VA

Summary

Adept at claims investigation and fostering teamwork, I enhanced customer satisfaction and compliance at MOUNT VERNON HOSPITAL. By analyzing trends and coordinating with professionals, I significantly improved claims handling efficiency, demonstrating strong financial acumen and problem-solving skills.

Detail-oriented Examiner with 3 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and claim examiner.

Overview

4
4
years of professional experience

Work History

Claim Examiner

MOUNT VERNON HOSPITAL
01.2021 - Current
  • Reviewed written estimates for repair costs, ensuring accuracy before issuing payments to vendors or policyholders.
  • Collaborated with medical professionals to verify treatment plans and ensure proper reimbursement levels.
  • Coordinated with legal counsel for defending insurance companies against litigated claims when necessary.
  • Assisted policyholders in understanding their coverage options, guiding them through the claims process stepbystep.
  • Streamlined communication channels between internal departments for faster decision-making on complex cases.
  • Implemented new software systems that improved efficiency in tracking claims progress and status updates.
  • Reduced claim processing time by streamlining workflow and prioritizing tasks efficiently.
  • Testified on behalf of agency as part of criminal and civic proceedings.
  • Established productive working relationships with public officials and law enforcement officers.
  • Improved customer satisfaction by providing timely and accurate claim updates throughout the process.
  • Ensured compliance with state regulations by conducting regular audits of claim files and documentation.
  • Analyzed data trends to identify areas for improvement in claims handling procedures and adjuster performance.
  • Managed high-volume caseloads, maintaining organization and attention to detail for each individual case.
  • Conducted thorough investigations into complex claims, gathering detailed evidence and interviewing involved parties to reach fair conclusions.

Education

Bachelor of Science - CYBERSECURITY

Old Dominion University
Norfolk, VA
06-2020

Skills

  • Claims investigation
  • Policy interpretation
  • Financial acumen
  • Teamwork
  • Attention to detail
  • Problem-solving
  • Customer service
  • Teamwork and collaboration
  • Time management

Languages

English and Twi
Native or Bilingual

Timeline

Claim Examiner

MOUNT VERNON HOSPITAL
01.2021 - Current

Bachelor of Science - CYBERSECURITY

Old Dominion University
GIDEON OKYERE