Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mary Theel

Alexander,Arkansas

Summary

Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Experienced Health Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 12 years of experience and willingness to take on any challenge. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Detail-oriented Health Insurance Specialist versed in researching and resolving complex issues on behalf of policyholders, companies and carriers. Bringing 12 years of expertise in Health insurance. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Supervisor position. Ready to help team achieve company goals. Enthusiastic claims examiner II eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Supervisory role and training in claims. Motivated to learn, grow and excel in Centene.

Overview

12
12
years of professional experience

Work History

Claims Processor II

QualChoice Health Insurance
Little Rock, AR
07.2010 - Current
  • Evaluated accuracy and quality of data entered into agency management system.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
  • Checked documentation for accuracy and validity on updated systems.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Determined appropriateness of payers to protect organization and minimize risk.

Education

High School Diploma -

Bryant High School
Bryant, AR
05.1991

Skills

  • Small Claims Payouts
  • Validation of Discrepancies
  • Policy Modifications and Updates
  • Claim Amount Calculations
  • High-Volume Environments
  • Insurance Claim Forms Review
  • New Policies Processing

Timeline

Claims Processor II

QualChoice Health Insurance
07.2010 - Current

High School Diploma -

Bryant High School
Mary Theel