Markisha Jackson
Las Vegas,NV
Summary
Dynamic professional with a proven track record
Experienced with managing and processing claims from initiation to resolution. Utilizes strong analytical skills and attention to detail to ensure accurate and timely processing of claims. Track record of effectively communicating with clients and team members to achieve positive outcomes and maintain compliance with company policies.
Overview
11
11
years of professional experience
Work History
Insurance Claims Processor
Credit Acceptance
03.2021 - 11.2025
- Prepared (30-50) insurance claim forms or related documents and reviewed for completeness.
- Evaluated claim documentation to determine eligibility and validity, enhancing overall accuracy of processing.
- Achieved quick resolution of outstanding issues by conducting thorough follow-ups on pending claims.
- Evaluated and settled complex insurance claims in strict timeframes.
FNOL Intake Agent
AAA
12.2017 - 06.2020
- Informed clients of policies and procedures.
- Processed 35-50 insurance claims
- Reviewed policy documents and claim submissions to ensure compliance with company standards.
- First point of contact, policy holders report claims to.
- Process accident/ incident information for home and auto.
- Provide Policyholder with adjust contact info, and next steps
Medical Claims Processor
Expert Global Solutions
12.2014 - 03.2017
- Processed 30-40 medical claims efficiently, ensuring adherence to regulatory guidelines and company policies.
- Communicated effectively with healthcare providers and insurance companies to resolve discrepancies.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Monitored and updated claims status in claims processing system.
- Paid or denied medical claims based upon established claims processing criteria.
Education
High School Diploma -
Canyon Springs
Las Vegas, NV06.2011
Skills
- Fraud Prevention
- Accurate claim processing
- Benefits Explanation
- Chat and email assistance
- Payment Processing
- Microsoft Excel,Office, Powerpoint
- Microsoft word
- Proficient in typing at 45 wpm
- Deescalation
- Product marketing
- Computer proficiency
Timeline
Insurance Claims Processor
Credit Acceptance
03.2021 - 11.2025
FNOL Intake Agent
AAA
12.2017 - 06.2020
Medical Claims Processor
Expert Global Solutions
12.2014 - 03.2017
High School Diploma -
Canyon Springs