Data Entry Claims Processing

Alexis Greenlee

**************@*****.*** 832-***-**** Cypress, TX

Summary

Dedicated professional with 10 years of experience in insurance auditing, seeking a Health Plan Auditor I role. Expert in ensuring claims compliance, identifying fraud, and enhancing process efficiency. Proven track record in reducing claims processing times by 20%.

Work Experience

UnitedHealthcare

Insurance Auditor & Claims Payment and Integrity Representative Sep 2014 - Present

• Ensure compliance and integrity of claims processing through detailed audits and adherence to regulatory standards.

• Review claims for accuracy and completeness, guaranteeing fair and timely settlements.

• Identify and investigate potential fraudulent activities, mitigating financial risks.

• Apply advanced data analysis to monitor trends and detect anomalies in claim patterns.

• Collaborate with teams to enhance claims efficiency, achieving a 20% reduction in processing times. Education

Texas A&M University

Business Management Incomplete

Kaplan Dental Assistance School

Registered Dental Assistant Program

American Society of Phlebotomy Technicians

Certified Phlebotomy Tech

Skills

Claims Auditing & Quality Assurance, Fraud Detection & Risk Mitigation, Regulatory Compliance & Standards, Process Optimization & Continuous Improvement, Data Analysis & Reporting, Root Cause Analysis & Problem Solving, Client Relationship Management, Cross-Functional Collaboration, Risk Assessment & Control, Advanced Reporting & Documentation

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