Gina Hollman

Responsible for reviewing, analyzing and processing a variety of non-complex pre service, and

• Post service grievances and appeals requests in the Enterprise Grievance & Appeals Department.
• Process a range of customer types ranging form: Provider, regulatory, and third-party claims.
• Work multiple products (HMO, POS,PPO, EPO, CDHP, and indemnity) related to clinical and non-clinical services,
• Quality of services, and quality of care issues to include executive and regulatory grievances.
• Expand knowledge by utilizing Processing Instructions, review contracts, and reaching out to other departments. 2013-2025

• Responsible for handling incoming healthcare claims ensuring a high level of customer service.
• Maximizing productivity by processing claims accurately, the first time.
• Review, research, and process medical claims, and consistently meet and exceed production, and quality goals.

• Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims.
• Analyze, identify trends, and provide reports as necessary.
• Regularly meet established productivity, schedule adherence, and quality standards.