Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Greg Tomasetti

Hudson,MA

Summary

My name is Greg Tomasetti and was employed with Tufts Health Plan for over 21 years. I began working as a Customer Service Representative and worked my way up to a Complex Claims Analyst. Along the way I worked in Medicare as a Member Retention Specialist and Provider Appeals Analyst. I am passionate about my work and team providing the best customer service for our members and providers.

Experienced with evaluating insurance claims to ensure compliance with policies and regulations. Utilizes strong analytical skills to identify discrepancies and facilitate accurate resolutions. Track record of maintaining detailed records and providing exceptional customer service.

Overview

26
26
years of professional experience

Work History

Complex Claims Analyst

Tufts Health Plan
01.2018 - 01.2024

Provider Appeals Analyst

Tufts Health Plan
01.2015 - 01.2018

Medicare Member Retention Specialist

Tufts Health Plan
01.2009 - 01.2015

Medicare Member Service Representative

Tufts Health Plan
01.2007 - 01.2009

Provider Appeals Coordinator

Tufts Health Plan
01.2001 - 01.2004

Customer Service Representative (Member and Provider)

Tufts Health Plan
01.1998 - 01.2001

Education

Bachelor of Science - American History

UMass Boston
Boston, MA

Skills

  • Claims
  • Claims analysis
  • Interpersonal and written communication
  • Policy interpretation
  • Proficient in [MS Office, Google Workspace, Zoom, Microsoft Teams, TAHP, Outlook]

Timeline

Complex Claims Analyst

Tufts Health Plan
01.2018 - 01.2024

Provider Appeals Analyst

Tufts Health Plan
01.2015 - 01.2018

Medicare Member Retention Specialist

Tufts Health Plan
01.2009 - 01.2015

Medicare Member Service Representative

Tufts Health Plan
01.2007 - 01.2009

Provider Appeals Coordinator

Tufts Health Plan
01.2001 - 01.2004

Customer Service Representative (Member and Provider)

Tufts Health Plan
01.1998 - 01.2001

Bachelor of Science - American History

UMass Boston