Marcella Hobson

Experienced Claims Representative with background in insurance, healthcare, and customer service. Strengths include strong analytical skills, ability to handle multiple tasks efficiently, and exceptional communication abilities. Previous work has involved investigating insurance claims, negotiating settlements, and providing superior service to policyholders. Have consistently improved efficiency and reduced claim processing timeframes in past roles.

• Resolved insurance and claim-related inquiries using internal systems, documentation review, and research. Reviewed claim issues submitted via phone, email, and ticketing systems, ensuring accurate resolution. Documented claim actions and provided communications for compliance and audit purposes. Researched claim denials and approvals and prepared clear written summaries for resolution. Supported claims operations by tracking, logging, and escalating issues as needed.
• Remote

• Updated and maintained electronic health records to ensure clinical accuracy. Prepared patients for procedures and documented post-operative instructions. Supported clinic efficiency through documentation, inventory management, and compliance practices.

• Reviewed eligibility documentation, prescriptions, and enrollment criteria for specialty pharmacy programs. Maintained accurate system records to support compliance, patient safety, and audit readiness. Interpreted program guidelines and communicated requirements clearly to stakeholders. Identified and escalated adverse events, duplicate therapies, and allergy warnings. Supported operational workflows through detailed documentation and data accuracy.
• Remote