Laurie Anderson

ad0d6n@r.postjobfree.com • 623-***-****

Glendale, Az 85308

Summary

Highly effective and ambitious individual with significant experience in health care claims processing. Skilled at prioritizing and effectively managing multiple assignments. A strong communicator, skilled at forming and maintaining effective working relationships with people at all levels.

Education

AS Degree Apollo College, Health Information Technology 1998

Additional Experience

Claims Analyst

Pacific Life & Annuities 2001-2005

Claims Analyst

Motorola 1998-2001

Data Entry, Fines

Reimbursement Dept 1997-1998

Underwriter

Commercial Aviation Insurance

1993-1997

Areas of Expertise

Health Claims

Client Service

Problem Solving

Team Development

Policy Analysis

Time Management

Professional Experience

CVS/Caremark 2019

– Present

Paper Claims Processor

Evaluate, scrutinize, and interpret claims in order to regulate coverage; assess and analyze presented coverage, identifying policy exclusions.

Collect the facts about the circumstances of the incident from policyholders, third parties and other stakeholders to determine the circumstances, causes and admissibility of claims.

Manage department’s email account, answer customer requests for information, initiate follow-up contact, and handle complaint.

Consistently exceeded customer expectations for service delivery by responding promptly and professionally to patient’s inquiries, identifying the issue and providing solutions.

Bluecross BlueShield 2008 – 2009

Claims/Customer Service Representative

Prepared and processed medicalclaims, hospital claims and coordination of benefit claims, evidence of insurability reports, and billing discrepancy reports for claims to be reviewed.

Advanced knowledge in medical terminology, ICD-9, CPT, COB/Medicare, HCFAS and UB-94.

Documented and maintained client accounts and pending medical reports for benefits processes.

NHBC 2005 – 2006

Claims Pricing

Provided proactive administrative support such as entering data, pricing medical and hospital claims for various healthcare providers, and producing reports and miscellaneous correspondence.

Responded to client communications and collaborated with healthcare providers as needed.

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