PAULINE POPPE
Humana
Jeffersonville
18
years of professional experience
Detail-oriented Claims Analyst experienced in analyzing claims data to enhance operational efficiencies and drive timely resolutions. Demonstrated strong critical thinking and effective communication, contributing to improved workflow and project implementations. Familiar with Macess, Excel, and CisPro.
Work History
Claim Research and Resolution Professional 2
10 Years 8 Months- Demonstrated self-motivation by taking initiative on projects.
- Thrived in fast-paced environments, adapting quickly to changing priorities.
- Created a template that is being used
- Create Monthly and Yearly reports
- Supported day-to-day operations, collaborating with team members to ensure smooth workflow.
- Managed time efficiently in order to complete all tasks within deadlines.
- Received North Star Award, and a few Star awards
- Applied critical thinking to analyze problems, assess solutions, and make informed decisions.
Claims Analyst, Claims Processor, Call Center Rep
7 Years 7 Months- Collaborated with cross-functional teams to resolve complex claim issues efficiently.
- Analyzed claims data to identify trends and discrepancies, ensuring accurate processing.
- Evaluated documentation for compliance with regulatory standards and company policies.
- Subject Matter expert in Calls, and Claims.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Received star award
Education
Associate of Science - Health Information Management
Skills
Problem-solving
Critical thinking
Attention to detail
Task prioritization
Data analysis
Task prioritization
Multitasking Abilities
Excellent communication
Timeline
Claim Research and Resolution Professional 2
Humana
11.2015 - CurrentRead More
Claims Analyst, Claims Processor, Call Center Rep
Humana
04.2008 - 11.2015Read More
Jefferson Communtiy Technical College
Associate of Science from Health Information Management
Read More