Professional insurance claims and policy processing specialist with demonstrated expertise in managing claims, processing policies, and ensuring compliance with regulatory standards. Strong focus on team collaboration and consistent delivery of results, adapting to changing needs. Skilled in data entry, customer service and maintaining accurate records. Reliable and flexible, fostering trust and efficiency within team.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
19
19
years of professional experience
Work History
Insurance Claims and Policy Processing Clerk
Greenville Dental Clinic, PA
05.2007 - 01.2026
Processed insurance claims efficiently to ensure timely reimbursements for patients.
Reviewed and verified policy information for accuracy and compliance with regulations.
Collected premiums and issued accurate receipts.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Maintained confidentiality of patient finances, records, and health statuses.
Processed and recorded new policies and claims.
Streamlined claim submission processes, reducing turnaround time for approvals and denials.
Contributed to team success by consistently meeting or exceeding individual performance goals and metrics.
Maintained organized claim files, ensuring easy access to pertinent information for efficient processing.
Resolved customer complaints by addressing concerns and providing clear explanations of policy coverage and limitations..
Streamlined procedures for data entry, leading to improved accuracy in policy documentation.
Result through diligent monitoring of outstanding claims and proactive follow-up actions with involved parties.
Evaluated accuracy and quality of data entered into agency management system.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Generated, posted and attached information to claim files.
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