Irma Hernandez
Optum360
Glendale,AZ
41
years of professional experience
Experienced with insurance policy analysis, risk assessment, and client management. Utilizes analytical skills to evaluate and mitigate risks, ensuring policy compliance and client satisfaction. Track record of effective communication and problem-solving in diverse situations.
Work History
Insurance Specialist Lead
41 Years 2 Months- Implemented process improvements that streamlined documentation requirements, enhancing operational efficiency.
- Mentored junior staff on best practices for claims management and effective communication strategies.
- Conducted audits of claims submissions to identify discrepancies and ensure adherence to company guidelines.
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Maintained high standards of customer service by building relationships with clients.
- Resolved discrepancies in insurance payments by collaborating with carriers.
Education
High School or GED
Skills
Documentation
Claims management
Insurance law
Client relations
Claims reporting systems
Timeline
Insurance Specialist Lead
Optum360
02.1985 - 04.2026Read More
Phoenix Union High School
High School or GED
Read More