Lindsey McKnight
Oak Ridge,TN
Summary
Senior Claims Analyst with 7+ years of experience managing complex claims, denials, and appeals across multiple departments. Expert in claims processing, manual calculations, auditing for accuracy and optimizing workflows to exceed quality and production metrics. Proven ability to support high-volume operations, resolve processing errors, and ensure timely, precise payment outcomes while maintaining strict compliance standards.
Overview
11
11
years of professional experience
Work History
Direct Support Professional
Emory Valley Center
Oak Ridge, TN
02.2025 - Current
- Assist individuals with daily living activities, fostering independence and enhancing quality of life.
- Monitored client health status, documenting changes accurately to inform necessary interventions and adjustments.
- Maintained clean, safe, and well-organized patient environment.
- Advocated for clients' rights and preferences, ensuring their voices were heard in decision-making processes.
- Developed personalized care plans tailored to individual needs, ensuring effective support and progress tracking.
- Implemented behavior management strategies to promote positive interactions and reduce challenging behaviors.
- Coordinated recreational activities that encouraged social engagement and community participation among clients.
Senior Claims Analyst
Accenture
Louisville Tn
08.2018 - Current
- Evaluates submitted claim appeals by analyzing medical documentation, coding accuracy, and payer policies to determine appropriate approval or denial outcomes in compliance with regulatory requirements.
- Audits claims for accuracy and compliance, identifying errors in coding, documentation, and processing to ensure adherence to payer and regulatory guidelines.
- Consistently exceed quality and production metrics while maintaining accuracy and efficiency.
- Manually calculate claims when automated processing errors occur, ensuring accurate payment.
- Support special units during high-volume periods to ensure timely and accurate claims processing.
Emergency Dispatcher
ADT
Knoxville, TN
04.2017 - 08.2018
- Coordinated emergency response efforts, ensuring timely dispatch of resources to critical incidents.
- Utilized advanced communication systems to relay accurate information to first responders and clients.
- Monitored multiple incoming alarm signals, prioritizing responses based on urgency and severity.
- Developed and implemented training programs for new dispatchers, enhancing team efficiency and performance.
- Improved response times by prioritizing and efficiently managing emergency calls.
- Evaluated dispatcher performance metrics, driving continuous improvements in service delivery standards.
Insurance Agent
Sitel
Oak Ridge, TN
07.2015 - 04.2017
- Developed comprehensive insurance solutions tailored to client needs and risk profiles.
- Conducted thorough policy reviews, ensuring compliance with industry regulations and standards.
- Advised clients on coverage options, enhancing understanding of complex insurance products.
- Mentored junior agents in best practices for customer engagement and relationship management.
- Built strong relationships with clients through consistent communication and excellent customer service.
- Responded to customer calls swiftly to resolve issues and answer questions.
Education
Nursing
National College
Knoxville, TNSkills
- Policy interpretation proficiency
- Attention to detail
- Excellent communication
- Customer service and support
- Adaptability and flexibility
- Coaching and mentoring
- Complex Problem-solving
- MS office
- Professionalism and integrity
Timeline
Direct Support Professional
Emory Valley Center
02.2025 - Current
Senior Claims Analyst
Accenture
08.2018 - Current
Emergency Dispatcher
ADT
04.2017 - 08.2018
Insurance Agent
Sitel
07.2015 - 04.2017
Nursing
National College