Claims Examiner Medical
Resume:
Malia Talia
Las Vegas, NV 89117
Tel:808-***-****
Email: ad1mtg@r.postjobfree.com
OBJECTIVES:
Seeking a full-time position that will utilize my outstanding experience in payroll, healthcare, or general business skills.
JOB HISTORY:
May 15th, 2019 – June 23rd, 2023
Intermountain Healthcare – Las Vegas
Claims Examiner
Check prior authorizations on medical claims
Check reports and attend department meetings
Process different types of claims
Validation-validating paper claims in the system
Work with other departments
Communicating via email/Microsoft teams
Processing payments
June 2014 – February 2019
University Health Alliance – Honolulu
Claims Examiner
Run daily reports
Check prior authorizations on medical claims
Attend morning meetings
Process TPL (third party liability) claims
Process EMC claims
Validation-validating paper claims in the system
Make sure everything is done by the check run date
Make sure all information is correct before we process each claim
Processing payments
October 2008 – April 2014
The Pantry Corporation – North Carolina
Payroll Clerk
Make sure every employee turns in their time cards on a timely manner for the day
Enter time in the system
Answer phones when employee calls to question their pay
Enter garnishment
Run and send out paper checks
August 1998 – August 2008
Unicold Corporation – Honolulu
Container Division Clerk
Transfer information in the system from Los Angeles and Seattle ports to Honolulu
Running invoices for incoming product
Call customers to schedule pick up from Honolulu port
Answer multiple phone lines
Faxing, copying, and research
Run end of the month reports
Inventory
EDUCATION:
Farrington High School – Honolulu Diploma
August 1990 – June 1994
Hawaii Business College – Honolulu Associates Degree
June 1994 – January 1997
Major – Secretarial Studies
General Office Procedures
EXTRACURRICULAR ACTIVIES:
Volunteer at Shriners Hospital for Cripple Kids in Honolulu
Walk a marathon and sponsor the March of Dimes for babies in Honolulu
Walk a marathon and sponsor the Heart Association of Honolulu
Run the cancer marathon in Honolulu
Run the Aloha Run marathon in 2015 Honolulu
REFERENCE:
Yvette Kimura
Unicold Corporation
Feleni Seloti
Virgin Galactic Spaceship
Jason Pierce
University Health Alliance
Contact this candidate