Stephanie Eppig
West Islip,NY
Summary
Thorough Examiner with specialized skills in regulatory compliance, case management, and critical analysis. Known for high productivity and efficient task completion within tight deadlines. Top soft skills include problem-solving, effective communication, and adaptability, which enable success in navigating complex cases and ensuring fair outcomes.
Overview
7
7
years of professional experience
2
2
years of post-secondary education
Work History
PIP Litigation Examiner
GEICO
Melville, New York
01.2025 - Current
- Reviewed insurance applications for compliance with company policies.
- Reviewed and analyzed claims to ensure accuracy of information, completeness of medical records, and compliance with policy terms.
- Investigated inconsistencies in documentation or reports obtained from third parties.
- Evaluated eligibility for benefits based on analysis of case facts and application of applicable laws.
- Carefully analyzed and collected evidence to support contested cases.
- Negotiated terms for settlement on no fault medical cases.
Medical Billing Examiner
GEICO
Melville, NY
11.2020 - 01.2025
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Applied HIPAA privacy and security regulations while handling patient information.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account Management.
Claims Service Representative
GEICO
Woodbury, New York
08.2019 - 11.2020
- Handling incoming calls in an efficient manner, while documenting the call and making sure all workplans are completed.
- Delivering exceptional customer service to all clients by effectively communicating information and actively listening to concerns.
- Making sure liability and coverage are all explained in easy to understand way, to avoid confusion or any additional questions.
- Reviewing each claim filed to verify that it is assigned to the right department.
- Addressing callers concerns and finding answers to their questions with the resources and knowledge I have obtained while working in the CSR department.
Education
Associates - Liberal Arts
Suffolk County Community College
Brentwood, NY 09.2013 - 06.2015
Skills
- Compliance assessment
- Claims analysis
- Medical coding
- Evidence collection
- Settlement negotiation
- Problem solving
- Attention to detail
- Time management
- Teamwork and Collaboration
Timeline
PIP Litigation Examiner
GEICO
01.2025 - Current
Medical Billing Examiner
GEICO
11.2020 - 01.2025
Claims Service Representative
GEICO
08.2019 - 11.2020
Associates - Liberal Arts
Suffolk County Community College
09.2013 - 06.2015