Senior Claims Adjudicator
Trihealth Tristate Benefit Solutions
Cincinnati
07.2015 - 02.2018
- Provided exceptional customer service and account management, ensuring smooth transitions for clients
- Conducted training sessions for providers on claim processing, new fee schedules updates, and contract configurations
- Collaborated with stakeholders to resolve inquiries, streamline processes, and improve overall provider satisfaction
- Led monthly audits to assess performance and compliance delivering constructive coaching and feedback to analysts to enhance accuracy
- Conducted critical testing for closing adjudication processes, both electronic and manual ensuring compliant claim resolution