Suzanne Flowers
Jonesboro,GA
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
41
41
years of professional experience
Work History
Claims Supervisor
UFCW Unions & Employers Health & Welfare Fund
Atlanta, GA
10.1985 - Current
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Determined proper course of action for claims processing.
- Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon established claims processing criteria.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Claims Adjuster
Travelers Insurance
Atlanta, GA
03.1981 - 10.1985
- Examined claims forms and other records to determine insurance coverage.
- Managed large volume of medical claims on daily basis.
Education
High School Diploma -
Forest Park High School
Forest Park, GA05.1976
Skills
- Relationship Building
- Critical Thinking
- Willing to Learn
- Creative and Innovative
- Customer Service
- Problem Anticipation and Resolution
- Decision Making
Timeline
Claims Supervisor
UFCW Unions & Employers Health & Welfare Fund
10.1985 - Current
Claims Adjuster
Travelers Insurance
03.1981 - 10.1985
High School Diploma -
Forest Park High School