Highly motivated claims professional with over six years of experience in claims evaluation and resolution. Expertise in critical thinking and active listening, contributing to efficient claims processing and customer satisfaction.
Overview
12
12
years of professional experience
Work History
Claims Adjuster
United Healthcare
Albuquerque, NM
05.2017 - Current
Evaluated claims to determine coverage, policy compliance, and accuracy of submitted documentation.
Analyzed complex claims cases, applying knowledge of regulations and industry standards.
Claims Representative
UnitedHealthcare
Albuquerque, NM
05.2017 - 02.2023
Resolved complex claims inquiries, ensuring compliance with policies and regulations.
Analyzed claim data to identify patterns, enhancing accuracy of processing procedures.
Collaborated with cross-functional teams to streamline claims resolution processes.
Dietary Server
Fiesta Park Wellness and Rehabilitation
Albuquerque, NM
07.2014 - 04.2017
Delivered nutritious meals to residents, ensuring dietary restrictions were met and preferences considered.
Collaborated with kitchen staff to maintain food presentation standards and quality control.
Assisted in training new dietary servers on menu items and service protocols.
Monitored resident satisfaction with meals, addressing any concerns promptly and effectively.