Customer Service Claims Analyst

Aetna CVS INsurance, Arlington, TX June **** to present. Started as a Claims Analyst, Customer Service Rep, Complaint & Appeal Analyst, Quality Analyst for Complaint & Appeal, Claim mentor for the Customer Service Reps. I collaborate and with my team mates and other departments to resolve claim issues, troubleshoot claims to resolve ongoing issues, have to calculate financial responsibility for the member, I have had to investigate the correct outcome of a complaint or appeal for Quality position, I put myself in the customers shoes and try to understand how they feel about what is happening to the claim and work to resolve their issues.