Summary
Overview
Work History
Skills
References
Timeline
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Katey Fossum

East Helena,MT

Summary

Analytical Claims Manager managing internal functions of teams, promoting high levels of quality production and overseeing specialized operational functions. Constructed concurrent objectives to promote efficiency and influence positive outcomes. Dedicated to team success while solving problems with minimal oversight. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

11
11
years of professional experience

Work History

COCR Claims Supervisor

Conduent
Helena , MT
04.2019 - Current
  • Managed a team of 10 Claims Representatives to ensure accuracy and timely completion of all claims processing activities.
  • Performed quality assurance reviews on claims submitted by staff to ensure compliance with company standards.
  • Recommended and communicated goals to help team excel against targets.
  • Trained new team members on policies and procedures for claims handling.
  • Managed team members effectively to meet high production standards with accurate results.
  • Motivated team members to maintain targeted turnaround time to obtain processing goals.
  • Processed File Update Requests for the state by uploading them into the Main Frame.

Lead Claims Processor

Conduent
Helena, MT
04.2018 - 04.2019
  • Reviewed and processed insurance claims in accordance with company policies and procedures.
  • Ensured accuracy of claim information, managed data entry, and maintained records.
  • Provided technical assistance to other team members regarding processing claims.
  • Created detailed reports on all activities performed within the department.
  • Identified potential areas of improvement in the system and recommended changes to management.
  • Coordinated workflow among staff members to ensure timely completion of tasks.
  • Developed effective strategies for improving the efficiency of the claim process.
  • Processed File Update Requests for the state by uploading them into the Main Frame.

Claims Processor

Conduent
Helena, MT
01.2017 - 04.2018
  • Processed a high volume of incoming claims in accordance with established policies and procedures.
  • Adhered to all applicable laws, regulations, and company standards while processing claims.
  • Performed additional duties as requested by management team.
  • Helped in development of new OCR system by identifying issues and submitting tickets for improvements.

Claims Processor

Xerox
Helena, MT
03.2013 - 01.2017
  • Processed a high volume of incoming claims in accordance with established policies and procedures.
  • Provided technical guidance and training to new staff members regarding claim processing procedures.
  • Performed additional duties as requested by management team.

Skills

  • Personnel Training
  • Planning and Organization
  • Performance Monitoring
  • Team Motivation
  • Prioritizing and Planning
  • Team Building Leadership
  • Employee Training Oversight
  • Operational Reporting
  • Willing to Learn
  • Critical Thinking
  • Proactive and Focused
  • Goal Setting
  • Staff Management
  • Recruitment and Hiring

References

References available upon request.

Timeline

COCR Claims Supervisor

Conduent
04.2019 - Current

Lead Claims Processor

Conduent
04.2018 - 04.2019

Claims Processor

Conduent
01.2017 - 04.2018

Claims Processor

Xerox
03.2013 - 01.2017

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