Tezra Palmer

Florence,SC

Summary

Rational Claims Processor with 10 years of experience enhancing operations for organizations through information systems solutions. Proven track record of transforming specific business goals related to growth and efficiency improvements into new system designs. Knowledgeable innovator known for recommending new technologies to enhance existing systems and introduce new systems.

Overview

years of professional experience

Work History

Short Term Disability Analysts

Cielo

02.2022 - Current

Communicates with claimants, employers, and various medical professionals to gather information regarding the application for, payment of, and ongoing management of STD benefits.
Conducts investigations to determine whether or not to accept liability and to what degree. Approves or denies benefits accordingly.
Managed Approximately 30-50 STD claims per day
Prioritized claim by The Dates and

Senior Claims Associate

Leadpoint

08.2019 - 12.2021

As Senior Claim Processor Ireviewed and Processed insurance claims. Those duties include verifying insurance policy coverage and making sure client information is accurate, Obtaining EOB from Primary Insurance company.
After determining coverage document information and makes sure all required paperwork is complete. Process claim according to allowed.
Trained newly intern claim associates

Claims Processor Specialist

Travel Center Of America

01.2014 - 08.2019

Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
Reviewed applications and supporting documents to verify claims eligibility and responding to customer inquiries, providing detailed explanations of insurance policies and claims processes.

Education

High School Diploma -

Latta High School

Latta, SC

05.2004

Skills

CPA
Cosmos
Epic
SalesForce
Ring Central
Five 9

Various Microsoft Applications
Various CRM software
Tableau Software
Claims Processing
Evidence-Based Decision Making
Explanations of Benefits

Timeline