Claims professional with strong experience in handling complex insurance claims and delivering impactful solutions. Skilled in claims processing, investigation, and negotiation, with keen focus on team collaboration and consistently achieving results. Adaptable and reliable, with client-centric approach and strong ability to address evolving needs effectively.
any discrepancies or misrepresentation
• Order medical records and bills from providers and communicate with clients and providers during the course of treatment
• Obtain documents necessary to support injury and/or liability positions
• Interact with insurance carriers and healthcare providers to secure records and account balances
• Negotiate case settlements with insurance carriers and negotiate a deduction of outstanding medical balances with providers
• Work directly with multiple coworkers involved in the management and support of case files
• Maintain organized case files
• Prepare comprehensive demands and assemble support for submission to carriers
• Interact with attorneys and present case synopsis when required
• Manage case files from intake to closing under the direction of an attorney