Claims Examiner with extensive experience at Lincoln Financial Group, excelling in claims processing. Proven ability to communicate effectively with claimants while maintaining confidentiality.
Effectively managed numerous cases, ensuring accurate and timely resolution. Demonstrated strong analytical skills and attention to detail in complex claim assessments.
Participated in pilots for fast tracking proc3dures.
Achieved certification as a reviewer and trained peers, showcasing leadership and commitment to quality in claims evaluation.
Always willing to help team needed in any capacity, and self motivated in volunteering for new projects.
Overview
19
19
years of professional experience
Work History
Claims Examiner, Voluntary 2
Lincoln Financial Group
11.2020 - Current
Reviewed and processed claims proficiently, maintained my dashboard.
Communicated with clients regarding claim requirements and timelines.
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Became proficient in all 3 products.
Participated in fast tracking pilot.
Became a Certified Reviewer and also taught a class to teaching to become a certified reviewer.
Processed LIFESYS HAB claims.
Dental Claims Examiner
LFG
11.2020 - Current
Reviewed and processed dental claims for accuracy and compliance with policy guidelines.
Collaborated with dental providers to resolve discrepancies and clarify claim details.
Utilized claims management software to track, analyze, and document claim statuses efficiently.
Utilized claims management software to track, analyze, and document claim statuses
Call Center Representative
LFG
11.2020 - Current
Managed high-volume inbound calls, providing exceptional customer service and support.
Resolved customer inquiries efficiently, ensuring timely follow-up and satisfaction.
Trained to handle calls for Dental, Life Claims, Short Term and Long Term Disability Claims.
Collaborated with team members to streamline workflows and enhance operational efficiency.
Participated in the CESO Leadership Team.
Maintained compliance with company policies while addressing diverse customer needs effectively.
Managed high call volumes while providing exceptional customer support and maintaining professional composure.
Dental Assistant
Dr. Alan Hrabak
05.2017 - 10.2020
Managed inventory of dental supplies, streamlining ordering processes for efficiency.
Assisted dentists with complex procedures, ensuring optimal patient care and treatment outcomes.
Worked with dental sales reps.
Educated patients on post-operative care and oral hygiene practices to promote health.
Conducted sterilization procedures for instruments, maintaining compliance with safety regulations.
Trained new staff on clinic protocols and patient interaction standards, fostering team cohesion.
OSHA Compliance Officer.
Cross-trained to manage scheduling, front office duties.
Analyst, Application Development (Dataiku IT Administrator) at Lincoln Financial GroupAnalyst, Application Development (Dataiku IT Administrator) at Lincoln Financial Group