Mary A. Thomas-Osoba

Bowie, MD ***** 410-***-**** adx2f7@r.postjobfree.com

Summary

Resourceful and detail-oriented Insurance Claims Examiner with proven skills in adjudicating simple and complex claim. Expertise include Life, Credit, Debt Protection, and Cancer Claims. Strengths include high audit scores, and meeting required time standards. Proficient in communicating complex situations to management team. A thoughtful professional with a deep commitment in helping clients achieve desired results. Areas of expertise include:

Claims Adjudication

Word/Excel/Access & PowerPoint

Written Correspondence

Detail Oriented

Organizational Skills

Customer Service

Report Preparation

Team Collaboration

Analytical Skills

Staff Training

Professional Experience

Johns Hopkins Hospital, Hanover, MD 2018 to 2023 Claims Adjuster 111

Processed medical claim for USFHP (DOD)

Processed and settled medical claims in all categories.

Attended and completed state mandatory training.

Maintained claims suspense reports

worked Aerial systems, Mc400, Doc Gem and AWD

Transamerica, Baltimore, MD 2006 to 2017 Claims Examiner

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Received star rewards from Transamerica 3-4 times a year on average as a result of customers calling the management team expressing appreciation to my service.

Prepared and submitted underwriting, legal, medical, senior examiner and manager referrals.

Prepared status, requests, maximum benefit warning and final letters on claims.

Requested loan information from lending institutions to verify eligibility.

Followed up on telephone and email inquiries from clients, plan administrators and lending institutions.

Maintained claims suspense reports.

Managed referral requests for continuing claims.

Attended and completed company required training.

Attended and completed state mandatory training.

Prepared insurance department complaint response letters.

Serriea Military Health Services 2000 TO 2006

Federal Government Contract (Claims Examiner for Dept. of defense)

Processed and paid secondary insurance payment for disabled and retired veterans. Assisted the retirees with additional resources.

Reapplied rejected accounting transactions by forwarding insufficient or excessive funds to district offices, reapplying premiums and/or refunding.

Answered telephones and provided appropriate information to district office managers and office assistants.

Posted premium, loan and loan interest payments to update accounts.

Updated beneficiary information by reviewing legal documents and verifying specified information.

Transferred funds received on lapsed policies to reinstatement suspense.

Faxed requests to district offices requesting necessary information to update accounts.

OTHER PROFESSIONAL EXPEREINCE

Administrate Assistance at Sinai Hospital of Baltimore, MD

Education

Community College of Baltimore, MD

90 Credits

Certification

Medical Coding Certificate

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