Claims Specialist / Executive Administration Support
- Senior Level Executive Administration; proactively identifies and addresses the needs of senior managers to ensure our company’s workflow runs smoothly with meticulous attention to detail
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Performed periodic audits of closed files to ensure accuracy of documentation and compliance with regulations.
- Advised management on potential changes needed in policies or procedures based on findings from investigations.
- Developed training materials for staff members on best practices for handling different types of claims.
- Generated weekly reports summarizing progress made on active cases.
- Assessed and conducted negotiations within authority limits to settle claims.
- Provided legal support by assembling documentation for settlement action.
- Handled modification and updating of policies.