Overview
Work History
Education
Skills
Timeline
Generic

Lori Renslo

Eau Claire,WI

Overview

12
12
years of professional experience

Work History

Claims Adjustment Representative

UnitedHealthcare C&S
05.2022 - Current
  • Adjust claims adhering to Medicare/Medicaid guidelines regarding appropriate procedures and processes
  • Pull Single Adjust inventory 3 days a week and find BOT opportunities and assign work out as needed
  • Answer questions daily in the SME question & answer queue
  • Update Patient Liability per report received daily
  • Conduct individual coachings and team training sessions
  • Run the Help Desk 3 days a week to help teammates in real time with questions/concerns on claims
  • Take Helping Hands chats which connects me to a customer service advocate that is working real time with a provider
  • Price High Drug cost claims along with Optum Transplant claims and MedReview claims
  • Multi tasking between different claim types and systems
  • Adhering and exceeding company metrics while managing time effectively
  • Worked many different projects including: UAT NJ Provider Selection, NJ u07 Aged Scrub project, HI Queensland Provider project, HI Medicaid audit, IN MLTSS special processing

Claims Processor

UnitedHealthcare C&S
12.2021 - 05.2022
  • Started training in December of 2021 and finished in March of 2022 and transitioned from TN to NJ for processing claims
  • Worked DUAL Medicare/Medicaid claims
  • Took on any projects offered by my supervisor

Real Estate Agent

Edina Realty Inc
01.2019 - 05.2022
  • I worked with buyers & sellers.
  • I would take buyers on showings in-person or virtually and work with them from the start of the home buying process to the closing day of their new home.
  • I worked with sellers on preparing their homes to sell and would host open houses and anything else that was needed to help them sell their home.

Real Estate Administrative Assistant

Marr Real Estate Group
01.2014 - 05.2022
  • I did all the social media advertising and marketing for our listed properties.
  • I sent out letters to people that may be interested in selling their homes hoping to find homes for our buyers that were looking.
  • I designed/ordered all the marketing materials.
  • I dealt with our client’s questions and took care of any issues that arose during a transaction.

Education

High School Diploma -

Spooner High School
Spooner, WI
05-1998

Skills

  • I learn fast, am self-sufficient and adapt well to change
  • I am detail-orientated to ensure accuracy
  • I am an analytical thinker and can spot trends/issues with numbers
  • I like to investigate and find the why to things
  • I work well with others and enjoy teaching people new things or giving them a different perspective
  • I have great time management skills

Timeline

Claims Adjustment Representative

UnitedHealthcare C&S
05.2022 - Current

Claims Processor

UnitedHealthcare C&S
12.2021 - 05.2022

Real Estate Agent

Edina Realty Inc
01.2019 - 05.2022

Real Estate Administrative Assistant

Marr Real Estate Group
01.2014 - 05.2022

High School Diploma -

Spooner High School

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Lori Renslo