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Claims Adjuster Specialist

Location:
Lexington, KY
Salary:
18.00
Posted:
September 02, 2024

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Resume:

CLAIMS ADJUSTER

JANET

REESE

CONTACT INFORMATION

*********@*****.***

**** ******** **** ********* **

40509

859-***-****

SKILLS

OBJECTIVE

Talented Claims Adjuster emphasizing effective time management, cost control, and mediation, Self -motivated and customer-focused, Licensed Claims Adjuster. Positive attitude and exceptional problem-solving skills.Diligent and meticulous professional commended for quickly and accurately learning new procedures. Enthusiastic eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Ambitious with 20 years of hands on experience verifying transactions, information, obtaining payment authorizations. Demonstrates ability to build trusting relationships. Ability to think critically, solve problems, excellent customer services skills. Experienced claims with over 20 years in health insurance and workers compensation.

EXPERIENCE

AUDITOR

Conduent. Lexington Ky 2021 - Jun 2024

WORKERS COMPENSATION CLAIMS ADJUSTOR

Smart Casualty Claims. Lexington, Ky 2022 - Present CLAIMS SPECIALIST

ACS. Lexington ky 2015 - Mar 2020

CLAIMS SPECIALIST

Bluegrass Family Health. Lexington, Ky Mar 2010 - May 2015 MEDICAL BILLS SUPERVISOR

Acordia. Lexington ky 1997 - Feb 2010

EDUCATION

BCTC. Lexington, Ky Aug 2022 - Present

Customer Service

Insurance policy review

Benefits Review

Supervision

Claims Investigation and research

Claim Analysis

Medicare and Medicaid Eligibility

Coverage determination

Problem solving

Team Building



Contact this candidate