Taryn Carter
Summary
Motivated, dependable, and team-focused. Known for stepping up when needed, maintaining a positive attitude, and keeping operations running smoothly. Brings strong communication and problem-solving strengths to every role. Consistently recognized for clear communication and maintaining high standards in fast-paced environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Insurance Claims Specialist
Robert Half
04.2025 - 11.2025
- Ensured timely claim validation by monitoring workflows and tag statuses.
- Achieved high billing accuracy scores through meticulous record reviews and data entry.
- Facilitated third-party claim submissions by gathering necessary information from insurers.
- Updated billing platform with required ICD-9 codes, charges, and narratives.
- Processed insurance claim forms according to federal, state, and departmental regulations.
Claims Adjuster
Alacrity Solutions - Brush Country Claims
06.2021 - 03.2025
- Ensured fair claim settlements by analyzing policy coverage thoroughly.
- Maintained regular communication with clients regarding claim status updates.
- Educated policyholders on claim processes and provided timely status updates.
- Promptly resolved inquiries from policyholders and other involved parties.
- Documented all decisions and communications accurately for reference purposes.
- Evaluated claims through investigations to assess damages and liabilities effectively.
Producer Support
Lumeris
10.2018 - 08.2021
- Facilitated effective communication between internal agents and external producers.
- Resolved enrollment inquiries, policy questions, and system issues efficiently.
- Educated brokers on plan policies, benefits, and online self-service tools.
- Analyzed trends impacting producer connections to enhance engagement.
- Collaborated with development teams to improve producer access and experience.
- Ensured accurate commission payments through direct communication with the commissions team.
Reimbursement Specialist
BJC Home Care Services
02.2016 - 10.2018
- Achieved collection benchmarks while managing aged accounts receivable balances.
- Verified claim codes and quantities for accuracy on initial submissions.
- Submitted daily electronic claims via Clearinghouse for multiple payers.
- Analyzed denial trends and followed up on claim denials promptly.
- Prepared and submitted appeals to resolve claim denials effectively.
- Addressed patient concerns and correspondence through phone and in-person interactions.
Skills
- Proficient in oral and written communication
- Commitment to professionalism
- Effective team collaboration
- Effective decision-making
- Data analysis proficiency
- Quality control expertise
Certification
- NFIP Claims Adjuster Presentation • State Farm Estimatics • State Farm Policy
- State Farm Auto Certification • TWIC
State Licensed
AL * AR * FL * ID * IN * KY * LA * ME * MI * MN * MS * MT * NM * OK * OR * TX * UT * WV
Timeline
Medical Insurance Claims Specialist
Robert Half
04.2025 - 11.2025
Claims Adjuster
Alacrity Solutions - Brush Country Claims
06.2021 - 03.2025
Producer Support
Lumeris
10.2018 - 08.2021
Reimbursement Specialist
BJC Home Care Services
02.2016 - 10.2018