CLAIMS ADJUSTER
JANET
REESE
CONTACT INFORMATION
*********@*****.***
**** ******** **** ********* **
40509
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