
I am a dedicated and detail-oriented Field Claims Adjuster with a strong commitment to mastering proper claim handling, documentation, and estimating practices. I thrive in fast-paced, high-demand environments where accuracy and compliance are paramount. I am focused on delivering high-quality results by strictly adhering to industry guidelines, providing empathetic and respectful customer service, and actively supporting my team as I grow into a reliable, effective field professional.
Remote
*Call center- high call volume both inbound and outbound calls
*Ability to recognize and deal appropriately with sensitive and condential information
*Identify, investigate and resolve customer problems/questions *Monitoring and analysis of cases that have not been resolved
*Go over and explain Benets to customers and also help with enrollment or changes to their benets ei medical, dental, vision and disability insurance.
*Interpret complex payer coverage information including status with provider, limited plan coverage and inactive benets.
*Excellent verbal and written communication skills
*Strong interpersonal skills with the ability to work independently and within a team environment
*Skilled in MS Oce (Word, Excel, Outlook), along with strong keyboarding skills
Handles high-volume inbound calls relating to
*processing of new orders
*providing updates on existing orders
assisting with order placement by verifying product pricing and availability
*Uses computerized system for tracking, information gathering, and/or troubleshooting
*Scheduling with medical oces and doctors.
*Advocating for patients.
*Calling customers insurance to expedite the process.
*Obtain and verify patient insurance benets coverage by use of insurance websites or by reaching out to insurance carriers
*Respond to inbound calls from a variety of Health Care Providers *Identify and assess the caller's needs