Torshawna Griffin
Iowa City,Iowa
Summary
Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Innovative go-getter and driven performer committed to handling claims effectively and expeditiously.
Overview
3
3
years of professional experience
Work History
Claims Analyst
Kelly Services, Elevance Health
12.2022 - 03.2023
- Viewed reports regularly to make sure processing was conducted efficiently.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Examined claims forms and other records to determine insurance coverage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Directed claims negotiations within allowable limit of $10, 000 and supported successful litigations for advanced issues.
Dispute Representative
PSCU
12.2021 - 12.2022
- Investigated cases of debit and credit card fraud, which involved upwards of $50-$10, 000 per case
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
- Responded to customer concerns and questions on daily basis.
Claims Analyst
Centene
12.2019 - 12.2021
- Evaluated original investigation reports and documents to resolve secondary concerns
- Maintained strict confidentiality with all personal data as per company guidelines
- Researched claims and incident information to deliver solutions and resolve problems
- Identified key areas not performing well and implemented effective, new processes
- Examined claims forms and other records to determine insurance coverage.
Education
Cybersecurity
Purdue Global University
RemoteSkills
- Microsoft Office Suite
- Active Listening
- Account Follow-Up
- Diagnostic Codes
- Document Workflow
- Video conferencing software
- 70 WPM typist
- Time Management
- Customer service
- Adaptability
- Inbound and Outbound Calling
- Clerical Support
Timeline
Claims Analyst
Kelly Services, Elevance Health
12.2022 - 03.2023
Dispute Representative
PSCU
12.2021 - 12.2022
Claims Analyst
Centene
12.2019 - 12.2021
Cybersecurity
Purdue Global University
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