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Signing Agent Claims Processor

Location:
Mesa, AZ
Salary:
15/hr
Posted:
January 16, 2023

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Resume:

Karla Andreasen

**** *. **** **., *** ****

Mesa, AZ 85201

602-***-****

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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