Sandra Ogle
Independence,MO
Summary
Senior Claims Adjuster with experience at Government Employees Health Association Inc., proficient in claims processing and attention to detail. Ability to build strong relationships through effective communication. Proficient in ensuring compliance and operational efficiency, demonstrating a commitment to collaborative teamwork and analytical excellence.
Overview
21
21
years of professional experience
Work History
Senior Claims Adjuster
Government Employees Health Association Inc.
Independence, MO
08.2003 - 12.2024
- Resolved complex claim issues through research, negotiation, and collaboration with other departments.
- Assessed claim denials to determine if appeals are appropriate.
- Analyzed medical claims for accuracy, completeness, and compliance with company policies and procedures.
- Participated in training sessions designed to keep current on industry-specific regulations.
- Reviewed administrative guidelines whenever questions arose during processing of claims.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Education
Associate of Applied Science - Secretarial Science
Penn Valley Community College
Kansas City, MO07-1985
Skills
- Claims processing and adjustment proficiency
- Collaborative teamwork abilities
- Data entry efficiency
- Independent problem solving
References
References available upon request.
Timeline
Senior Claims Adjuster
Government Employees Health Association Inc.
08.2003 - 12.2024
Associate of Applied Science - Secretarial Science
Penn Valley Community College
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