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Insurance Specialist Claims Processor

Location:
Parkville, MD
Posted:
January 05, 2023

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Resume:

MP

MARTHA PETERSEN

adugu9@r.postjobfree.com 804-***-**** Woodford, VA 22580

Seasoned Claims Processor Insurance Specialist with excellent planning and problem solving abilities. Offering 18 years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments. Regulatory compliance understanding

Background in insurance

Account management expertise

Insurance terminology

Outstanding clerical abilities

Number-savvy

Secure data practices

Reporting abilities

Basic math

Communication

State Farm Murfreesboro, TN

Auto Claim Processor

01/2005 - 01/2015

Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Verified policy holder data, including age, contact number and physical address.

Complied with confidentiality regulations in handling customer information.

Updated patient and insurance data and input changes into company's computer system.

Processed claims for payment or forwarded to appropriate personnel for further investigation

Assisted new policyholders with processing claims. Collaborated closely with other team members to resolve large volume of claims on a daily basis.

State Farm Lincoln, NE

Claims Service Assistant

01/1997 - 01/2005

Verified claim data correctness in preparation for processing. Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Verified policy holder data, including age, contact number and physical address.

Collaborated with fellow team members to manage large volume of claims. Assisted new policyholders with processing claims. Handled management of communication to executives by taking and making telephone calls, reviewing and prioritizing mail and composing and typing correspondence.

Maintained inventory in supply closet to prevent shortages. Prepared packages for shipment by generating packing slips and setting up courier deliveries.

Directed customer communication to appropriate department personnel. Summary

Skills

Experience

Sherburne-Earlville Senior High School Sherburne, NY High School Diploma

06/1973

Education and Training



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