Joshua A. Weiner
CIGNA Healthcare
Peckville,Pennsylvania
14
years of professional experience
Analytical business professional with expertise in data analysis, process improvement, and stakeholder engagement. Leverages strong collaboration skills to drive impactful decisions and adapt to changing needs. Translates complex data into actionable insights to deliver results consistently.
Work History
Claims Analyst
6 Years- Using critical thinking and analysis to deal with complex claim situations.
- Extensive knowledge of Cigna claim and supporting systems.
- Managing workload to meet strict deadlines.
- Prioritized escalated adjustment requests to ensure timely resolutions.
- Multi-task and working with different areas to complete adjustment request.
- Developed instructions for claim adjustments, facilitating project completion for providers.
- Demonstrated urgency in responding to time-sensitive requests.
Claims Adjuster/Ping Pong Reporter
5 Years 5 Months- Prioritized escalated adjustment requests to ensure timely resolution.
- Demonstrated urgency in addressing time-sensitive tasks
- Managed workload to consistently meet strict deadlines, enhancing service delivery.
- Multi-tasking and working with different areas to complete adjustment request.
- Utilized critical thinking and analysis to navigate complex claim situations, improving decision-making.
- Experience communicating to internal and external customers.
- Sense of Urgency
Claims Processor
2 Years 3 Months- Processed claims accurately and efficiently to meet departmental standards.
- Utilized tools to enhance claim processing accuracy and timeliness.
- Conducted research and analysis on claims to ensure thorough evaluations.
- Followed updates to Proclaim Protocol to ensure compliance.
Education
Bachelor of Arts - Communication
Bachelors - Business Management
Skills
Data analysis
SQL proficiency
Excel advanced functions
Pivot tables
Claim processing systems
Claim processing
Requirements gathering
Project management
Team collaboration
Office productivity
Timeline
Claims Analyst
CIGNA Healthcare
09.2020 - CurrentRead More
Claims Adjuster/Ping Pong Reporter
CIGNA Healthcare
04.2015 - 09.2020Read More
Claims Processor
CIGNA Healthcare
01.2013 - 04.2015Read More
Old Dominion University
Bachelors from Business Management
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Keystone College
Bachelor of Arts from Communication
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