Medical claims examiner

Lesley Benning

**** ***** ** **********, ** 502-***-**** *********@*****.***

Career Overview

I have been working in the health Insurance field for over eight years now. I process Medicaid and Medicare claims. I have also supervised over twenty employees doing the same thing for a short time. With my current job I am required to learn quickly with keeping the quality at over 99.5% at all times.

I did start my Health care career at Aetna Health Plans in 1994 working customer service with the Retired Teachers of America plan. I then went to a contractor who sent me into the office of other Health Insurance companies. Example I worked at Anthem doing claims and Humana doing customer service and claims

Core Strengths

Fast Learner

High Retention

Leadership skills

Focus on Quality

Accomplishments

I was promoted to a supervisor for about six months just recently. I was asked to stay on as supervisor, however I preferred working at home processing. The supervisor position required a lot of phone meetings that did not fit in the schedule I needed.

Work Experience

Claims Examiner

October 2008 to Current

Firstsource Solutions - Louisville, KY

I determine by using state guidelines if a Medicare and/or a Medicaid claim can be paid or needs to be denied for any reason. I Coordinate Benefits when member has more than 1 coverage. I send to appropriate places when we need additional information

Education

High School Diploma: 1988

Pleasure Ridge Park H.S.-Louisville, KY

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