Narissa Monderson
Sunrise,Florida
Summary
Licensed 6-20 All-Lines Insurance Adjuster with a strong background in medical claims processing, remote customer service, and pay-log reconcili
ation. Over 5 years of experience working in remote environments, demonstrating a high level of independence, accountability, and attention to detail. Skilled in reviewing complex insurance claims, interpreting policy coverage, analyzing medical documentation, and resolving disputes with accuracy and professionalism. Proven ability to work efficiently in a virtual setting, manage time effectively, and maintain high productivity without direct supervision. Seeking a fully remote claims adjuster role where I can expand my expertise beyond medical claims to include property, casualty, auto, and general liability.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Claims Specialist
BroadPath Healthcare
08.2022 - 10.2025
- Reviewed medical claims for coverage accuracy and billing compliance.
- Provided claim status updates and benefit verification to providers and members.
- Operated in a fully remote, metrics-driven environment while maintaining high performance.
Medical Claims Processor & Pay-Log Specialist
MASA Global, MASA MTS and MASA TRS are registered trade names and
Sunrise, FL
07.2024 - 05.2025
- Processed and updated detailed medical claims, ensuring accuracy and compliance with insurance guidelines.
- Reconciled payment logs and monitored claim status to ensure timely resolution.
- Analyzed treatment documentation to verify medical necessity and billing alignment.
- Trained and onboarded new claims associates to uphold quality and consistency in claims handling.
- Collaborated with third parties, including medical professionals, and claimants, to gather required information and documents.
Medical Claims Specialist
Michelson Wollberg / Blue Cross Blue Shield
01.2024 - 06.2024
- Performed remote processing of insurance claims, resolving discrepancies, and completing audits.
- Used internal claims systems and digital resources to verify benefit eligibility and direct claims.
- Maintained productivity and quality standards in a 100% remote setting.
Healthcare Customer Service Representative
RemX Specialty Staffing
08.2019 - 08.2022
- Assisted patients and providers with claim inquiries, eligibility verification, and benefit explanations.
- Scheduled appointments and handled sensitive medical data in compliance with HIPAA standards.
- Delivered top-tier customer support from a remote setting, with minimal supervision.
Customer Service Representative
Kforce Global Solutions
06.2018 - 07.2019
- Responded to public inquiries regarding state programs and services.
- Utilized secure remote platforms to access, input, and manage client data.
- Maintained high call quality and issue resolution ratings in a remote call center role.
Home Warranty Claims Specialist
Choice Home Warranty
Sunrise, Florida
01.2015 - 06.2018
- Handled homeowner warranty claims, coordinated service dispatches, and ensured claims were resolved in a timely manner.
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Documented changes in claim statuses using specialized software systems.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
Education
Associate of Science - Nursing Education
Broward College
Fort Lauderdale, FLHigh School Diploma -
Plantation High School
Plantation, FL Certified Nursing Assistance -
Everest Institute
Fort Lauderdale, FLSkills
- Claims Management Software (CMS)
- Microsoft Office Suite (Word, Excel, Outlook)
- Remote Work Tools: Zoom, Microsoft Teams, Citrix
- CRM & Call Center Systems
- Claims processing
- Billing compliance
- Training and onboarding
- Medical billing
Certification
- Florida 6-20 All-Lines Adjuster License – Active
- HIPAA Compliance Certification
- Proficient in ICD-10/CPT medical billing and coding standards
CORE COMPETENCIES
▪ Medical & General Claims Processing ▪ Pay-log Management & Reconciliation
▪ Remote Work & Time Management ▪ HIPAA Compliance & Documentation Review
▪ ICD-10 / CPT Code Verification ▪ Customer Communication & Investigation
▪ All-Lines Adjusting (6-20 License) ▪ Self-Motivation & Accountability
▪ Claims Systems & CRM Platforms
References
References available upon request.
Timeline
Medical Claims Processor & Pay-Log Specialist
MASA Global, MASA MTS and MASA TRS are registered trade names and
07.2024 - 05.2025
Medical Claims Specialist
Michelson Wollberg / Blue Cross Blue Shield
01.2024 - 06.2024
Medical Claims Specialist
BroadPath Healthcare
08.2022 - 10.2025
Healthcare Customer Service Representative
RemX Specialty Staffing
08.2019 - 08.2022
Customer Service Representative
Kforce Global Solutions
06.2018 - 07.2019
Home Warranty Claims Specialist
Choice Home Warranty
01.2015 - 06.2018
Associate of Science - Nursing Education
Broward College
High School Diploma -
Plantation High School
Certified Nursing Assistance -
Everest Institute
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