Malonnie Bean
Dallas
Summary
Professional with experience in healthcare administration, specializing in processing and managing medical claims. Skilled in data analysis, claim adjudication, and ensuring compliance with industry regulations. Strong focus on teamwork and achieving results through effective communication and adaptability to changing needs. Reliable and efficient in handling high volumes of claims
Overview
5
5
years of professional experience
Work History
Medical Claims Processor
United Health Group - Optum Health
Dallas, TX
12.2023 - 02.2026
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Researched and resolved complex medical claims issues to support timely processing
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation protocols and third party requirements regarding billing.
- Maintained accurate patient records with diligent data entry and effective communication with healthcare professionals.
Claims Adjuster
State Farm
Houston, TX
01.2022 - 11.2023
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Developed positive relationships with policyholders, fostering trust through transparency during the claim process.
- Examined claims forms and other records to determine insurance coverage.
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
Claims Specialist
Liberty Mutual
Houston, TX
02.2021 - 01.2022
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Provided exceptional customer service by addressing client inquiries promptly and professionally.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Education
High School Diploma -
Taylor High School
Houston, TX05-2022
Associate of Science - Associate of Science in Nursing
National University
La Jolla, CA06-2028
Skills
- Customer Service
- Inbound and Outbound Calling
- Insurance Verification
- Typing Proficiency 65 WPM
- Eligibility Determination
- Medical Billing Software
- ICD-10 proficiency
- Claim Denial Resolution
- Microsoft Excel
- Claims Processing
- Call Center Experience
- Data Entry and Analysis
malonniebean3@gmail.com
Timeline
Medical Claims Processor
United Health Group - Optum Health
12.2023 - 02.2026
Claims Adjuster
State Farm
01.2022 - 11.2023
Claims Specialist
Liberty Mutual
02.2021 - 01.2022
High School Diploma -
Taylor High School
Associate of Science - Associate of Science in Nursing
National University