Senior Claims Processor AmeriBen/ Elevance Health
05.2012 - Current
Improved claim processing efficiency by streamlining workflows and implementing best practices.
Managed external vendor relationships, ensuring seamless coordination between parties involved in the claims process.
Monitored regulatory compliance within the department, adhering to all relevant state and federal guidelines.
Maintained detailed documentation for each processed claim, allowing for easy retrieval during audits or reviews.
Managed high-volume caseloads, ensuring timely and accurate completion of claims processing tasks.
Supported continuous improvement initiatives within the organization by suggesting innovative solutions to challenges faced in the claims process.
Developed training materials for staff development, leading to increased productivity and team cohesion.
Collaborated with cross-functional teams to improve overall claims management processes.
Implemented new policies and procedures to enhance the overall efficiency of the claims department.
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