Nora Young
Yazoo ,MS
Summary
Dynamic Claims Benefit Specialist with a proven track record at Macy's, adept at claims analysis and insurance regulations. Demonstrated reliability in expediting claim processing and enhancing patient rapport, achieving financial targets through meticulous documentation and effective communication. Skilled in benefits administration and committed to delivering exceptional service in high-pressure environments.
Overview
7
7
years of professional experience
Work History
Claims Benefit Specialist
Macy's
01.2019 - Current
- Evaluated and settled complex insurance claims in strict timeframes.
- Followed up with customers on unresolved issues.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Generated, posted and attached information to claim files.
- Collected premiums and issued accurate receipts.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Processed and recorded new policies and claims.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
High School Diploma - Accounting And Finance
Yazoo City High School
Yazoo City, MSSkills
Microsoft office
Claims analysis
Insurance regulations
Policy interpretation
Benefits administration
Claims investigation
New policies processing
Secure data practices
Reporting
Documentation skills
Background in insurance
Electronic authorization processing
Records management
Professionalism
Medicaid
Patient rapport
Reliability
Claims preparation
Insurance plan verification
Great mathematical skills
Documentation processing
Medical terminology
Risk assessment
Analytical thinking
Adaptability
Office equipment operation
Team building
Attention to detail
Payment and investigation escalations
Timeline
Claims Benefit Specialist
Macy's
01.2019 - Current
High School Diploma - Accounting And Finance
Yazoo City High School