Julianna Eddy
East Lansing,MI
Summary
Efficient Claims Processor known for high productivity and task completion. Possess specialized skills in claims analysis, documentation verification, and regulatory compliance ensuring smooth operation flow. Excel in time management, problem-solving, and communication, leveraging these soft skills to effectively manage workloads and facilitate clear interactions with all stakeholders.
Overview
5
5
years of professional experience
Work History
Claims Processor
ServiceMaster Restore
Okemos
04.2024 - Current
- Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.
- Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data.
- Processed a high volume of incoming claims in accordance with established policies and procedures.
Supervisor of Quality Department
Muha Meds
Pinconning
01.2022 - 03.2024
- Directed and supervised team of 15 employees in daily operations.
- Developed and implemented operational policies and procedures to ensure efficiency and accuracy of workflows.
- Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
- Tracked progress on projects and provided timely feedback to staff members.
Office Professional
Cosens MMA
Bay City
01.2020 - 01.2022
- Provided high-level administrative support to senior management, including scheduling meetings and coordinating travel arrangements.
- Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.
- Greeted visitors and responded to inquiries in a professional manner.
- Answered incoming calls, redirected calls, took messages and provided basic information as requested.
Education
Diploma -
John Glenn
Bay City06.2019
Skills
- Payments posting
- Transactions reconciliation
- Claims review
- Policy Interpretation
- Claims
- Regulatory Compliance
- Technical aptitude
- Claims trend analysis
- Accuracy and Precision
- Medical terminology knowledge
- Data entry proficiency
- Allocating claims
- Claim Amount Calculations
- Insurance Claim Forms Review
- Small Claims Payouts
- Data Entry
- Eligibility Determination
- Client Interviews
- Teamwork and Collaboration
- Customer Service
- Document Review
- Team building
- Great mathematical skills
- Attention to Detail
- Quality Control
Timeline
Claims Processor
ServiceMaster Restore
04.2024 - Current
Supervisor of Quality Department
Muha Meds
01.2022 - 03.2024
Office Professional
Cosens MMA
01.2020 - 01.2022
Diploma -
John Glenn