Lindsay Solberg
Irvine,CA
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
6
6
years of professional experience
Work History
Claims Manager
Indigo Billing
Irvine, CA
01.2022 - Current
- Managed a team of 15 claims adjusters, ensuring that all customer inquiries were responded to in a timely manner.
- Experience with Anthem, UHC and Cigna audits
- Knowledge of medical records
- Monitored the performance of adjusters to ensure accuracy, timeliness and compliance with departmental standards.
- Provided training and guidance on best practices for handling new and existing claims.
- Developed procedures to streamline the claims process, improving overall efficiency.
- Analyzed data from previous claims to identify trends and areas for improvement.
- Resolved escalated customer issues by providing effective solutions in a timely manner.
- Collaborated with other departments to investigate potential coverage disputes or discrepancies.
- Created processes for tracking open cases, monitoring progress towards resolution goals.
- Maintained accurate records of all claim activities including payments, denials and appeals.
- Input claim information and payments into company database (Monday)
Claims Manager
Cipher Billing
Irvine, CA
02.2019 - 01.2022
- Managed a team of 20 claims adjusters, ensuring that all customer inquiries were responded to in a timely manner.
- Experience with Anthem, UHC and Cigna audits
- Knowledge of medical records
- Reviewed and approved complex claim settlements, making sure they were within policy guidelines.
- Monitored the performance of adjusters to ensure accuracy, timeliness and compliance with departmental standards.
- Provided training and guidance on best practices for handling new and existing claims.
- Developed procedures to streamline the claims process, improving overall efficiency.
- Analyzed data from previous claims to identify trends and areas for improvement.
- Resolved escalated customer issues by providing effective solutions in a timely manner.
- Analyzed claims data to identify patterns, fraud risks, and areas for process improvement.
- Facilitated team meetings to discuss complex cases, share best practices, and coordinate multi-disciplinary response strategies.
Education
Heartland Community College
Bloomington, ILSkills
- Attention to Detail
- Research
- Problem Resolution
- Verbal Communication
- Data Management
Timeline
Claims Manager
Indigo Billing
01.2022 - Current
Claims Manager
Cipher Billing
02.2019 - 01.2022
Heartland Community College
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