Mauricio Cerna

• Gathering, reviewing, and verifying claims for accuracy and completeness, ensuring all supporting documentation is included by assisting in the investigation of claims.

• Organizing claims based on urgency and complexity, ensuring that high-priority claims are processed first, streamlining workflows, and minimizing the time spent switching between tasks, thereby increasing overall productivity.

• Developing and implementing procedures to streamline the claims process, reduce errors, and enhance productivity within the team by setting monthly targets aligned to the needs of the company.

• Making proactive analysis of claim trends and performance metrics by identifying areas for improvement and providing training and guidance to team members to enhance their skills and knowledge.

• Maintained a high level of security in handling sensitive financial information, adhering to company guidelines and industry standards for data protection.
• Provided training and guidance to new team members on remittance processing systems, contributing to their successful integration into the team.
• Reduced financial discrepancies, effectively reconciling open deposits with their corresponding EOB.