Karla Andreasen
Mesa, AZ 85201
adupws@r.postjobfree.com
SPECIAL ATTRIBUTES
Subject Matter Expert
10+ years of experience Microsoft Word, Excel and Outlook software
3+ years of claims experience
Team-oriented while also able to pursue personal and departmental production goals daily
Strong typing skills with speed and accuracy
Ability to organize in a multi-demand and multi-priority environment
Trained a class on how to process a certain carrier (SONY)
Manage multiple carriers on a daily basis.
Commissioned Arizona Notary in February 2021, Certified Loan Signing Agent
Inactive MLO license.
EMPLOYMENT
Claims Processor III, Caremark, Scottsdale, AZ
December 2014-Present
Outbound calls to Pharmacies for verification of information
Processing and adjudicating paper claims
Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures
Accurately resolving pending claims using state and federal regulations and specific health plan criteria
Working within turnaround times to meet client performance guarantees for claims processing
Meeting productivity and accuracy standards
Promoted to Processor II May 2016.
Responsible for training new processors.
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EDUCATION
Everest College, Phoenix, AZ Associate of Applied Science, Paralegal Studies May 2011
Pima Medical Institute, Phoenix, AZ Certificate of Completion, Medical Assistant January 2004
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