Maureen J. Galligan
**** ***** ******** ****; Chicago, Illinois 60660
312-***-**** email: *******@*****.***
Objective
With over 20 years of experience with analysis and payment of medical claims for a multi- employer benefit Fund, I am seeking a position with a company where my ability to learn quickly and adapt to new situations will help me grow as well as benefit my future employer. Experience
February 4, 1994 – December 29, 2016
Claims Processor Chicago Regional Council of Carpenters Welfare Fund Chicago, IL
Possess the ability to learn, understand, interpret and correctly apply Plan rules, provisions and regulations when adjudicating claims
Accurately and effectively communicate the Plan rules and regulations to others in a clear, concise, professional manner
Adjudicate claims using proper diagnostic and procedure codes in accordance with Plan rules
Perform various tasks related to adjudication of claims, including contacting or requesting additional information and documentation from participants, providers and other insurance carriers
Verify accuracy of data received and update the system accordingly
Identify and adjudicate claims requiring referral for adjustment, corrections, subrogation and document reason for action
Understand and apply coordination of benefit Plan provisions and adjudicate claims accordingly
Meet and usually exceed quality and production standards
Good verbal and written communication skills
Ability to multi-task and complete work accurately and on time under minimal supervision Awards & Acknowledgements
More than 20 years of excellent evaluations done monthly and yearly by department managers
Held in high regard by managers, supervisors and fellow co-workers 2
Education
Joliet West High School, Joliet, IL
Diploma received in 1979
Professional and personal references are available upon request.