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Insurance Professional Experience

Cincinnati, Ohio, United States
January 22, 2018

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Miles K Bachelor **** Highland Ave.

513-***-**** Cincinnati, Ohio 45219

Work Experience

Medicare Advantage, Cincinnati, OH Month 2004 – present

Insurance Claims Processor

Managing and supervising all claims information to ensure all benefits are paid according Medicare terms and conditions

Responsible for corresponding with clients and agents to inform them of policy status and changes, as well as processing and submitting required government forms.

Maintaining proper legal status and the overall fiscal health of the insurance policies

Additional duties include transcribing data to work sheets and computer software, and preparing documentation and required reports.

Tacking active, cancelled and pending policies.

Calculating the amount of claims and handle the pay out of small claims

Assisted in Medicare financial audit projects

Anthem BCBS Federal Employee Program, Cincinnati, OH Month 2001 – 2004

Claims Processor

Managed insurance claims from patients in doctors' offices or at insurance companies

Processed, validated and analyzed all insurance claims in the assigned department

Ensured all benefits were paid by Medicare on time and with accuracy

Examined insurance claims for federal employees and processed claims according to contract liabilities

Interviewed clients to obtain the information required on new insurance policy applications.

Processed applications, recorded changes to policies, processed reinstatements and handled cancellations of policies

Anthem BCBS Federal Employee Program, Cincinnati, OH Month 2000 – 2001

Customer Services Support Clerk

Expedited customers’ requests for brochures, benefit statements, changes of address etc

Managed incoming correspondence for both internal and external customers

Performed as a liaison for Anthem and external customers

Collects revenue by receiving and recording payments


University of Phoenix 2006-2010

• B.S. Business Management

Professional Accolades

Professional experience of medical terminology and processes

Business and technical writing skills

• Extensive knowledge of Medicare benefits and claims handling


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