Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kristie Wzorek

Simpsonville,SC

Summary

Dynamic Claims Representative with extensive experience at Labsource, adept at insurance claims review and coverage assessments. Proven ability to enhance client satisfaction through effective communication and team collaboration. Skilled in claims investigation and decision-making, consistently streamlining processes to improve efficiency and compliance in a fast-paced environment.

Overview

2017
2017
years of professional experience

Work History

Claims Representative and Student Teacher

Healthcare Reimbursement
  • Processed healthcare claims with attention to detail and adherence to compliance standards.
  • Collaborated with providers to resolve claim discrepancies and ensure accurate reimbursements.
  • Utilized claims management software to track claim status and maintain records efficiently.
  • Conducted thorough reviews of documentation to confirm eligibility and coverage specifics.

Claims Representative

Labsource
Greenville, SC
01.2013 - 07.2016
  • Evaluated and processed insurance claims to ensure compliance with company policies.
  • Communicated effectively with clients to gather necessary documentation for claim resolution.
  • Resolved customer inquiries promptly, enhancing overall client satisfaction.
  • Collaborated with team members to streamline claims processing workflows.
  • Assisted in training new representatives on claims procedures and software tools.
  • Analyzed claim trends to identify potential areas for process improvement.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with customers on unresolved issues.
  • Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.

Education

Associate of Science - Healthcare Reimbursement

Virgina Collage
Greenville, SC
09.2011

High School Diploma -

Greenfield Highe School
Greenfield, Ma
06.1992

Skills

  • Microsoft office
  • Insurance claims review
  • Claims investigation
  • Time management
  • Team collaboration
  • Decision-making
  • Coverage assessments
  • Coverage determination
  • Workers compensation
  • Allocating claims

Timeline

Claims Representative

Labsource
01.2013 - 07.2016

Claims Representative and Student Teacher

Healthcare Reimbursement

Associate of Science - Healthcare Reimbursement

Virgina Collage

High School Diploma -

Greenfield Highe School