Mary Estrada
Von Ormy,TX
Summary
Accomplished Senior Claim Benefit Specialist at Aetna with expertise in claims management and critical thinking. Successfully ensured compliance and enhanced team knowledge as a subject matter expert. Demonstrated superior organizational skills and attention to detail, achieving a 98% accuracy rate in claims processing. Proficient in addressing inquiries and fostering effective communication.
Overview
30
30
years of professional experience
Work History
Senior Claim Benefit Specialist
Aetna
04.2005 - Current
- Reviewed, processed and completed various types of claims, including member, provider, hospital and COB claims.
- Ensured full work area compliance with relevant laws, regulations, and industry standards related to claims processing.
- Communicated with internal teams and customers to address inquiries related to claim issues.
- Participated as a SME to assist and share knowledge to my team.
Education
John F. Kennedy High School
San Antonio, TXSkills
- Claims management expertise
- Critical thinking capacity
- Attention to detail and accuracy
- Superior organizational skills
Timeline
Senior Claim Benefit Specialist
Aetna
04.2005 - Current
John F. Kennedy High School
Similar Profiles
Kristine Tortorich (Kristy)Kristine Tortorich (Kristy)
RN Care Manager at AetnaRN Care Manager at Aetna
Revathi MallineniRevathi Mallineni
Data Analyst at AetnaData Analyst at Aetna
Tyler HerbertTyler Herbert
Medicare Customer Service Representative at AetnaMedicare Customer Service Representative at Aetna
Virginia CoronadoVirginia Coronado
Training Production Admin. at Reyes AutomotiveTraining Production Admin. at Reyes Automotive
Anisleidy Cartalla CurbeloAnisleidy Cartalla Curbelo
Kitchen Staff Member at McDonald'sKitchen Staff Member at McDonald's