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Claims Specialist Analyst

Location:
Knoxville, TN
Posted:
November 06, 2023

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Resume:

ANITA C. JOHNSON

Knoxville, TN ***** 214-***-**** ad0v2h@r.postjobfree.com

linkedin.com/in/anita-c-johnson

CAREER FOCUS

Highly motivated Claims Analyst who thrives in high-pressure environments. Excellent results-oriented servicing claims experience in evaluating and reconciling all FHA, GSE, MI and investor claims timely and accurately according to investor/insurer guidelines. Highly skilled at account reconciliation and problem-solving.

SUMMARY OF SKILLS AND ACCOMPLISHMENTS

•Attention to detail to audit and analyze work outputs by interpreting government agency and department guidelines/standards.

•Strong verbal, written, and organizational skills.

•Ability to communicate with all levels of leadership in a professional and organized manner.

•Multitasking ability to handle specialized task and responsibilities alternating between work processes and special projects.

•Ability to maintain confidentiality and good interpersonal skills.

•Mortgage Software: eMAQCS Service Now Property 360 LoanSphere (Black Knight) PeopleSoft I Equator I TRAX I QAS I SERFS I Falcon I eboutique I Darts I AS/400

•Microsoft Office: Outlook Access MS Word MS Excel I PowerPoint I OneNote I SharePoint I Microsoft Dynamics (Great Plains)

PROFFESSIONAL EXPERIENCE AND ACCOMPLISHMENTS

Mortgage Default Servicing Claims Specialist Mitchell Martin (FHLBC) 100% Remote 07/2021 – 07/2023

•Performed quality review on claims that were owned by FHLB and Fannie Mae that were filed by a third-party company, to insure that all guidelines were followed and all required documents were attached.

•Audited claims and performed a loss analysis on each claim.

•Negotiated with servicers on documentation and allotment within FNMA or FHLBC guidelines.

•Reviewed EOB’s / Explanation of Benefits in order to determine curtailment loss and appropriate supplemental claim submission to MI companies.

•Created internal Job Aid for SG-571 Fannie Mae processing guidelines for training.

•Managed Fannie Mae REO Foreclosure and Servicing Reimbursement monthly and daily exception reports to ensure accuracy of production.

•Trained associates in department on claim processes, policies and procedures.

•Identified root causes of unclaimed amounts or denied claims such as unreasonable interpretation of the requirements in the master agreement policies.

•Attended account management monthly calls with FHLBs providing spreadsheet analysis of outstanding claims during the post-liquidation process.

Medical Claims Examiner NTT Data, Plano, TX 01/2020 – 07/2021

•Analyzed and processed medical claims transactions for 3rd Party clients (Tufts Healthcare and UCare) while adhering to plan provisions.

•Adjudicated 80-100 claims daily based on expertise in covered benefits, insurance, and provider contracts.

•Attained a Quality Control Score matrix of 98-100%.

Accounting Support III DISYS (Fannie Mae), Plano, TX 03/2019 – 10/2019

• Prioritized the processing of 6-15 manual non-PO transactions into Peoplesoft daily, ensuring approval from Director level and above, while effectively managing document processing.

• Verified emails for all missing PO numbers, invoice amounts, dates, and supporting documentation.

• Conducted thorough checks of figures and calculations for accuracy in expense reports and 80 in-house invoices daily.

Claims Specialist III DISYS (Fannie Mae), Plano, TX 11/2017 – 12/2018

• Proficiently handled Servicing and Non-servicing claims with Fannie Mae with qualifying exceptions on each claim up to 150 lines following regulatory guidelines.

• Reviewed systems for outstanding advances and disbursements to determine if item can be claimed.

• Effectively communicated detailed explanations for curtailed or denied claims to servicers and collaborated on corrective actions.

• Met specific quality and volume requirements for claims while prioritizing work flow.

Accounting Clerk Staffmark (Southwest Credit Systems), Carrollton, TX 7/2017 – 11/2017

• Assisted in month-end closing procedures and facilitated 200 weekly check runs.

Claims Specialist II DISYS (Fannie Mae), Plano, TX 11/2015 – 04/2017

• Chosen by manager to specialize in servicer and non-servicer (REO Properties) and acted as a Subject Matter Expert (SME) for key department projects.

• Reviewed and processed vendor claims in accordance with FNMA (GSE) guidelines. Escalated claims for REO, Loss Mitigation (default loans), Advanced, Other, and Government loan tags.

• Handled claim encompassing attorney, broker, utility, field services, property preservation, MI, HOA, foreclosure/bankruptcy, insurance, taxes, escrow, valuations, and government claims.

• Secured a 96% quality rating and consistently surpassed high production productivity goals, processing up to 120 claims daily, while enhancing FNMA's quality standards.

Data Analyst Cornerstone Staffing (Caliber Collision), Dallas, TX 8/2015 – 11/2015

• Ensured the accuracy of Accounts Payable batch output by verifying correct vendor coding.

• Investigated, resolved and responded to errors.

Reconciliation Loss Mitigation Specialist ICON Professional Services (Fannie Mae), Dallas, TX 02/2013 – 03/2015

• Reconciled loans that were not funded and successfully retrieved funds from closing agents.

• Managed an average monthly billing of $30M-$65M for collection from REO properties. Investigated and resolved discrepancies in reconciling loans.

• Trained co-workers on REO, Loss Mitigation, and Reverse claims processes and checked their work before sending out statements to servicers.

• Mastered outstanding quality standards for reconciling statements for lenders, with a daily average of 125%.

EDUCATION

General Office Certificate Elmira Business Institute, Elmira, NY

Diploma I Odessa Montour Central High School (1981)



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