Summary
Overview
Work History
Education
Skills
Timeline
Generic

Michelle Timm

Green Bay

Summary

Demonstrative Claims Auditor with background reviewing payment processes to deliver services, correct pricing and timely payments. Highly collaborative individual with over [Number] years providing exceptional service via email and telephone to various individuals and organizations.

Tenacious Claims Auditor with understanding of researching claims processing errors and determining appropriate resolutions. Data-driven professional with exceptional skills in calculating figures and making claims decisions.

Overview

29
29
years of professional experience

Work History

Claims Auditor

United Healthcare
Green Bay, WI
09.2020 - Current

Auditing claims that are released by claim adjustor over their level authority or every 100th claim.

Claims Adjustor

UnitedHealthcare
Green Bay, WI
03.2010 - 09.2020

Processing medical/dental claims.

Underwriting Assistant

UnitedHealthcare
Green Bay, WI
01.1995 - 09.2020

reviewing applications, entering the information in the the system, and obtain addt'l medical information from the insured before sending to the underwriter for review.

Education

High School Diploma -

Green Bay East High School
Green Bay Wi
06.1988

Skills

  • Payment Processing
  • Data Verification
  • Claims Auditing
  • Decision-Making
  • Insurance policy coverage knowledge
  • Claims Investigation

Timeline

Claims Auditor

United Healthcare
09.2020 - Current

Claims Adjustor

UnitedHealthcare
03.2010 - 09.2020

Underwriting Assistant

UnitedHealthcare
01.1995 - 09.2020

High School Diploma -

Green Bay East High School
Michelle Timm