Summary
Overview
Work History
Education
Skills
Languages
Affiliations
Timeline
Generic

Shatriece Gleese

Vicksburg,MS

Summary

Analytical Claims Specialist with proven experience investigating and resolving property, health and business claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills.

Overview

5
5
years of professional experience

Work History

Claims Specialist

ContinuumGlobal
Dallas, TX
12.2022 - 11.2023
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Performed periodic audits of closed files to ensure accuracy of documentation and compliance with regulations.
  • Investigated and analyzed requirements to improve timeliness of reports to customers.
  • Handled billing related activities focused on medical specialties.
  • Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.

Appeals Specialist

Concentrix
Fremont, CA
04.2019 - 01.2022
  • Processed claims for payment or forwarded to appropriate personnel for further investigation
  • Identified trends in the types of appeals received, and reported those findings to management.
  • Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
  • Ensured all documents are stored securely according to HIPAA standards.
  • Collaborated with fellow team members to manage large volume of claims.
  • Maintained up-to-date knowledge of applicable laws, regulations, policies and procedures related to appeals processing.

Education

High School Diploma -

Vicksburg High School
Vicksburg, MS
05.2017

Skills

  • Documentation Review
  • Compliance Management
  • Allocating Claims
  • New Policies Processing
  • Teamwork and Collaboration
  • Data Entry
  • Customer Service
  • Documentation Abilities
  • Medicaid Knowledge

Languages

English
Professional

Affiliations

  • Very family orientated, love spending time with family and friends in my free time.
  • Love having mommy and me time with my daughter, we absolutely love shopping together.

Timeline

Claims Specialist

ContinuumGlobal
12.2022 - 11.2023

Appeals Specialist

Concentrix
04.2019 - 01.2022

High School Diploma -

Vicksburg High School

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Shatriece Gleese