Giselle Lopez
Pleasant Valley,NY
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
3
3
years of professional experience
Work History
Claims Representative
EviCore Healthcare Formerly Care Core National
01.2021 - Current
- Analyzed and addressed escalated claims to resolve issues quickly.
- 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.
- Updated claims system to track claim status and provide relevant information to other department.
- Identified data entry errors and reported to necessary departments.
- Corrected data entry errors to prevent duplication or data degradation.
- Compiled and verified accuracy and sorting information to prepare source data for computer entry.
Education
High School Diploma -
Mother Seton Regional High School
Clark, NJ06.1994
Skills
- Judgment and Decision-Making
- Information Updates
- Insurance Calculation
- Critical Thinking
- Microsoft Outlook
- Microsoft Internet Explorer
- Time Management
- Coverage Determination
Languages
Spanish
Native or Bilingual
Timeline
Claims Representative
EviCore Healthcare Formerly Care Core National
01.2021 - Current
High School Diploma -
Mother Seton Regional High School
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