Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
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Larae Jasper

Sr. Desk Adjuster
Charlotte,NC

Summary

Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.

Overview

21
21
years of professional experience

Work History

Pharmaceutical Claims Processor

Degree Benefits
Charlotte, NC
10.2020 - Current
  • Evaluated accuracy and quality of data entered into agency management system.
  • Followed up with customers on unresolved issues.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Analyzed information gathered by investigations to report findings and recommendations.

Auto Claims Analyst

Tru North
Huntersville, NC
10.2018 - 09.2020
  • Investigate warranty claims, determine liability, confirm coverage, establish damage and negotiate settlement of claims
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.

Business Analyst

Senior Market Sales Inc
Omaha, NE
12.2013 - 12.2018
  • Conducted interviews with key business users to collect information on business processes and user requirements.
  • Applied honed problem-solving skills to analyze and resolve issues impacting business operations and goal achievement.
  • Improved business direction by prioritizing customers and implementing changes based on collected feedback.
  • Analyzed key aspects of business to evaluate factors driving results and summarized into presentations.

Sr. Claims Analyst

ACM
Omaha, NE
05.2003 - 03.2012

Viewed reports regularly to make sure processing was conducted efficiently.

  • Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Examined claims forms and other records to determine insurance coverage.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.

Medical Claims Examiner

Mutual of Omaha
Omaha, NE
07.1999 - 03.2003
  • Effectively analyzed and coordinated benefits for payments on health claims
  • Processed coordination of benefit claims
  • Performed customer service to insured's
  • Analyzed claims for possible fraud
  • Achieved and maintained quality control levels of no less than 92% monthly.

Education

Diploma -

Benson High School
1999

Skills

  • Management
  • Accounting
  • Claim Adjudication
  • Customer Service Advanced

Negotiation

  • Medical Billing
  • CPT Coding
  • ICD-10
  • Strategic Planning
  • Insurance Verification
  • Accounts Receivable
  • Analytical and Critical Thinking

Additional Information

  • Authorized to work in the US for any employer, Willing to relocate anywhere Add your headline or summary

Timeline

Pharmaceutical Claims Processor

Degree Benefits
10.2020 - Current

Auto Claims Analyst

Tru North
10.2018 - 09.2020

Business Analyst

Senior Market Sales Inc
12.2013 - 12.2018

Sr. Claims Analyst

ACM
05.2003 - 03.2012

Medical Claims Examiner

Mutual of Omaha
07.1999 - 03.2003

Diploma -

Benson High School
Larae JasperSr. Desk Adjuster