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Work Background
Senior Claims Representative
Jan. 2021· Responsible for quality reporting, analysis and audits.
· Reviewing provider accounts receivable listings and diagnosing process improvement opportunities.
· Ensure obtained data and information is accurate and relevant to meet end users’ needs.
Claims Adjuster
Jan. 2017 - Dec. 2021· Coordinates with the Escalation Department to reprocess and complete complex claims.
· Maintains an expert level of niche claims knowledge that allows for independent workflow and consistent contribution.
· Trains new claim adjusters and assist instructors during training classes.
· Researching large claim projects
School Nurse
Jan. 2016 - Dec. 2017· Developed open and understanding communication with students, guardians, and teachers.
· Monitored and cared for over fifty students with long-term injuries and daily medications.
· Perfected “classroom kits” to prevent students from unnecessarily missing class.
· Systemized the availability of necessities, like extra clothing, for students and families in need.
UnitedHealthcareSr. Provider Reimbursement Medical Claims Rep
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