Hayward, CA
... ● File initial claims remotely, and efficiently resolve claim issues while complying with company rules and policies ● Maintain a Quality Metric score of 95% or higher consistently throughout my tenure ● Ability to effortlessly navigate different ...
- Jun 06
Tampa, FL
... • Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims. • Assisted customers in filing new insurance claims and provided status updates on existing ones. • Investigated suspicious or fraudulent ...
- Jun 06
Simpsonville, SC
... 2020–May 2022) USRN Disability Claim Manager/analyst, covering Continental USA. • Processing and re-certification of Long-term Disability claims. • Processing and approval of Short-term Disability and Family & Medical Leave Act • Responsible for ...
- Jun 06
Arlington, VA, 22201
... Presented to underwriter and data science leadership on findings with a conclusion that it would save ~5 min of review time per claim. SKILLS Programming: Java, SQL, R, Python, Tableau Platforms: GitHub, Snowflake Languages: Spanish (Fluent) HONORS ...
- Jun 06
Charlotte, NC
... Partnered with actuarial teams to support predictive modeling of claim settlement durations and amounts to improve forecasting and risk management. Managed ETL pipelines using AWS Glue and Informatica to ensure data was correctly integrated into our ...
- Jun 06
Greensboro, NC
... *, NC 27358 Cell: 404-***-**** Email: ********.***@*****.*** Professional Summary Detail-oriented and organized accounting and administrative professional with extensive experience in financial reporting, claim verification, and database management. ...
- Jun 06
Hampton, VA
... Educated approved patients on the program guidelines which included verification of diagnosis and the requirements for claim submission process and income verification • Provided exceptional customer service and support to ensure customer ...
- Jun 06
Houston, TX
... For calls pertained to claims inquiry, handled questions and documented transactions in the proper claim modules, provided first call resolution, when possible, identified problems and provided solutions, submitted adjustment reconsideration request ...
- Jun 06
Melissa, TX
... Best coder award from Thomson Reuters. Professional Summary: Client: Optimum, Plano, TX #1 Duration: Feb 2024 – Till date Role as: Sr. Data Analyst/ Data Engineer/ Lead Create Apache Airflow DAGs to migrate data from Oracle database to Cloud SQL. ...
- Jun 06
Blythewood, SC
... Composed formal responses to complex inquiries and maintained claim records. Updated personal and claim data in systems of record with high accuracy. Processed service requests and changes to award information for Veterans. Department of Defense – ...
- Jun 06