Mallory Reid
Litchfield,IL
Summary
Proven Subrogation Analyst with a track record of enhancing claim recovery rates and reducing financial losses for Blue Cross Blue Shield of Illinois . Demonstrates exceptional analytical and communication skills, adept at identifying subrogation opportunities and streamlining processes for faster settlements. Excels in client relationship building and negotiation, ensuring maximum recoverable funds.
Overview
12
12
years of professional experience
Work History
Subrogation Analyst
Blue Cross Blue Shield of Illinois
02.2019 - Current
- Exhibited strong analytical skills in evaluating claim files for potential third-party liability exposure, significantly reducing financial losses for clients.
- Minimized financial risk by promptly closing out inactive files after thorough investigation and assessment of potential recovery options.
- Enhanced claim recovery rates by thoroughly analyzing case information and identifying subrogation opportunities.
- Facilitated open communication channels between internal departments to expedite claim resolution and maximize recoverable funds.
- Demonstrated exceptional attention to detail in reviewing complex claims documents, uncovering discrepancies that led to successful subrogation actions against at-fault parties.
- Streamlined the subrogation process for faster settlements, implementing a consistent methodology for case reviews.
- Investigated intricate accident scenarios using expert knowledge in liability laws to establish fault accurately, leading to higher recovery amounts.
- Improved negotiation outcomes with insurance carriers by conducting detailed research on policy coverages and loss history.
- Maintained accurate records of all ongoing subrogation activities, allowing for quick retrieval during audits or regulatory inquiries when necessary.
Insurance Specialist
Litchfield Family Practice Center
03.2015 - 02.2019
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Maintained high standards of customer service by building relationships with clients.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Communicated effectively with members of operations, finance, and clinical departments.
- Researched and resolved routine and complex issues.
Insurance Specialist
Hillsboro Area Hospital
05.2013 - 03.2016
- Exhibited strong analytical skills in evaluating claim files for potential third-party liability exposure, significantly reducing financial losses for clients.
- Minimized financial risk by promptly closing out inactive files after thorough investigation and assessment of potential recovery options.
- Facilitated open communication channels between internal departments to expedite claim resolution and maximize recoverable funds.
- Demonstrated exceptional attention to detail in reviewing complex claims documents, uncovering discrepancies that led to successful subrogation actions against at-fault parties.
Education
Nokomis High School
Nokomis, IL05.2009
Skills
- Claims analysis
- Investigation techniques
- Data analytics
- Insurance regulations
- Subrogation process
- Willingness to learn
- Strong work ethic
- Teamwork
- Customer service
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Excellent communication
- Organizational skills
- Active listening
- Adaptability and flexibility
- Client relationship building
- Negotiation
- Investigation management
Timeline
Subrogation Analyst
Blue Cross Blue Shield of Illinois
02.2019 - Current
Insurance Specialist
Litchfield Family Practice Center
03.2015 - 02.2019
Insurance Specialist
Hillsboro Area Hospital
05.2013 - 03.2016
Nokomis High School
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