Rene’ Perryman

314-***-****

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

Florissant, MO 63033

adt2l5@r.postjobfree.com

Professional Objective

A business professional with broad experience in worker’s compensation insurance, mortgage loans, financial industry, life insurance, and customer service. Highly innovative and results- oriented professional committed to excellence and dedication in analyzing business needs to deliver quality service that led to increased profitability and growth with a broad range of technical training: demonstrated research, analytical, and problem-solving skills. Organized, detail-oriented, and thorough, 100% wiliness to travel, with proven ability to inspect, manage, track projects, and meet deadlines

Life Claims Representative – Contract

Exl Services /Protective Insurance – Remote October 2022 Jersey City, NY

• Accountable for identifying, investigating, evaluating, obtaining, and utilizing critical information required to accurately and objectively adjudicate claims.

• Verbally communicate and correspond with outside customers to convey claim filing requirements.

• Handles claim inquiries and processing on multiple product lines.

• Documents all calls clearly and concisely and completes follow-up work.

• Identify areas of potential risk for the company, including potential fraud.

• Analyze all incoming documents for appropriateness and completeness and determine whether claim is payable. If so, calculate benefit amounts and serve as 1st approver for payments.

• Serves as the first step in resolving claims adjudication issues and in the call escalation process.

• May be responsible for incoming and outgoing calls to claimants, Powers of Attorney, facilities and other person’s or entities involved in the adjudication of a claim.

• Ensure all tax information is correctly reported.

• Maintain claim file with proper level of documentation.

• Answer customer inquiries.

• Maintain claim inventories within departmental, contractual, and regulatory guidelines. Life Adjuster Claims

Kemper Insurance Sept 2019 - July 2022 Maryland Height, Missouri

• Investigated and evaluated life claims, including Life, Terminal Illness Accelerated Benefit, and Waiver of premium.

• Reviewed coverage eligibility and policy status and requests necessary proof of loss documents.

• Reviewed and evaluated claim, proofread and medical records, when necessary, determines benefits eligibility.

• and recommends claims for payment or denial.

• Communicated in person, via telephone, and in writing with beneficiaries, employers, attorneys, and other professionals regarding life insurance claims.

• Utilized outside vendor programs to research and confirm the insured date of death.

• Communicated complex technical issues and statistical analyses to various audiences to determine trends and indicators for caseloads of Non-contestable and Contestable claims.

• Maintain life insurance records and claims; produced letters, maintain statistical reports, and updated life insurance tracking system.

• Strategically managed and researched the deceased information for any additional life insurance policies.

Senior Mortgage Processor- Contract

Task Source / USDA Feb 2018 - Sep 2019 St. Louis, Missouri

• Examined loan applications for completeness and determine needed preliminary steps and origination requests to verify applicants' income, bank account balances, and credit standing.

• Prepared and shipped loan request files to Underwriting.

• Entered data to generate loan documents and Bank regulatory reports.

• Provided data for Credit Lenders reports.

• Developed and maintained a strong understanding of mortgage lending products, policies, processes, and required documentation for FHA, VA, USDA, and portfolio products.

• Complied with policies, procedures, security requirements, and government regulations while preparing the mortgage loan applications.

Billing Analyst / Audit Department

Apex Staffing/Spectrum Oct 2017- Jan 2018 Maryland Heights, Missouri

• Prepared detailed and comprehensive reports and presents findings and recommendations to management officials.

• Conducted studies on proposed changes in equipment to evaluate the benefits of various

• configurations.

• Devised and ran benchmark tests on equipment. Compiled and analyzed data from technical publications.

• Monitored existing equipment's workload and operational adequacy

• Supported testing for enhancements before implementation to ensure daily operations are not adversely impacted.

• Performed research and responded to inquiries from all areas of the organization.

• Identified problematic areas and implement strategic solutions in time, audit systems and assess the outcomes. Managed all incoming data files on tenants and individual properties. Preserved assets, information security, and control structures.

• Provided and produced accurate and timely reporting of program status accuracy of billing and reduction of billing disputes, thus overall improving the customer experience. Senior Workers Compensation Claims Adjuster - IL Claims Gallagher Basset Services, - Jan 2016 - Aug 2017 St Louis, Missouri

• Served as a floater filling in when someone was out on leave, assigned to their desk until they returned.

• Investigated claims to determine compensability; Demonstrated proper claim handling within the authority.

• Analyzed complex or technically challenging worker's compensation claims by investigating and gathering information to determine the exposure on the claim.

• Processed claims for physician and hospital services, coordination of benefits (COB), high dollar, refunds, and adjustments on resubmitted claims based on approvals/Denials of benefits.

• Lead, identify, create, and facilitate process design changes to resolve third-party actions to ensure that

• subrogation rights are reserved.

• Resolved specification problems and determined production capabilities and responsiveness on reviewed claims by Medicare Compliance with settlement resolution. Senior Workers Compensation Claims Adjuster-Remote Underwriters Safety & Claims- Jun 2015 - Dec 2015 Louisville, Kentucky

• Conducted investigations for coverage and compensability, established and maintained appropriate reserves, and made appropriate claims recommendations.

• Reviewed medical records adhering to HIPPA laws security, fraud, and benefit integrity issues across the full range of benefits and programs.to determine if company practices and procedures made payments and denials.

• Possessed the ability to organize, delegate, prioritize, and meet deadlines and follow-up, Knowledge of analyzing executive and technical reports for reimbursement from payers and patients.

• Utilized Project Management techniques at a complex level with providers on outstanding billing issues, HIFCA, UB-1500 ensuring all bills were paid before claiming resolution.

Claims Specialist II – Workers Compensation

Liberty Mutual Insurance Sept 2007-June 2015 - St. Louis, Missouri

• Provides technical guidance, advisory services, program support, and workers' compensation benefits to injured workers.

• Conducted investigations for coverage and compensability, established and maintained appropriate reserves, and made appropriate claims recommendations.

• Strategically managed established claims on an ongoing basis.

• Authorized changes in medical providers, medical management, rehabilitative services, vocational training, or other procedures or services.

• Prepared reports on claims and loss statistics and other information as required.

• Demonstrated proficiency in claim file management, work effectiveness, interpersonal skills, and customer service.

• Expert ability to communicate effectively, orally and in writing, at a level that exceeds technical financial and accounting information to technical and non-technical personnel claims management of jurisdictions: MO, IL, IA, KS, NE, SD

• Maintained record of patient care, condition, progress, or problems to report and discuss observations with doctors or case managers.

• Verified updated information on submitted claims and reviewed work processes to determine reimbursement eligibility.

• Provided customer risk management reports detailing claims in preparation for quarterly account reviews.

Education & Training

Webster University, St. Louis, MO - December 2007

Master of Business Administration

Harris-Stowe State University, St. Louis, MO - May 1999 Bachelor of Science, Management

Computer:

Microsoft Office Suite and Internet Explore

Contact this candidate