Seasoned insurance specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.
Overview
12
12
years of professional experience
Work History
Claims Specialist
Industrial Commission of Arizona
Phoenix , AZ
09.2011 - 09.2023
Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim.
Assisted with filing appeals on denied claims with insurance companies.
Compiled data from multiple sources for reporting purposes.
Interpreted legal documents related to claims processing such as contracts and policy language.
Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
Performed periodic audits of closed files to ensure accuracy of documentation and compliance with regulations.
Administrative Support Specialist at State Of Arizona Corporation CommissionAdministrative Support Specialist at State Of Arizona Corporation Commission
Adjunct Professor of Humanities, Culture and Language at Maricopa County Community DistrictAdjunct Professor of Humanities, Culture and Language at Maricopa County Community District