Robin Fryzel-Kossuth

Resolve complex claim issues through research and collaboration with other departments.

Perform special projects upon request from management; completing tasks efficiently, while meeting deadlines.

Prepare reports on claims activity for upper management review.

Supervise and analyze claims inventory ensuring optimal turnaround times, resolution and denial rates.

Assist colleagues with difficult claims, providing guidance regarding complex issues and/or scenarios.

Evaluate and motivate employees to continuously develop and grow in both performance and knowledge

Managed intricate health insurance claims to ensure prompt resolution and high accuracy, with a focus on thoroughness, quality and cost control

Reviewed policy documents to ensure compliance with regulations and guidelines

Analyzed claim denials to identify trends and recommend process improvements.

Mentored junior staff on claims processing procedures and best practices.

Communicated effectively with team members across multiple departments within the organization.

Assisted with training new employees on claims processing systems and procedures.

Optimized inventory levels by expediting claims processing in adherence to departments accuracy standard