Data Entry and Claims Specialist Resume Title
Resume:
NAHIDA
SEYAM
D A T A E N T R Y / C L A I M S P E C I A L I S T
*************@*****.***
W O R K E X P E R I E N C E
P R O F E S S I O N A L S U M M A R Y
Data Entry and Claims Specialist with 7+ years of remote experience supporting insurance and healthcare operations. Experienced in processing and verifying records, maintaining accurate client and patient data and supporting claims, billing and enrollment workflows in high volume environments. Known for consistently meeting productivity and accuracy expectations while handling sensitive information and supporting efficient, well organized operations.
Assisted individuals and families in selecting health and life insurance policies tailored to their budgets, coverage needs and long term goals. Managed the full application process, ensuring compliance with all state, federal and carrier regulations.
Conducted policy reviews and provided clear explanations of complex terms, enabling clients to make confident decisions.
Maintained meticulous client records in CRM systems to track communication, policy changes and renewals.
Delivered ongoing support and follow up to strengthen client relationships and improve retention rates
Entered and updated Medicare Supplement (Medigap) application information in internal systems.
Checked applications for accuracy and missing information before sending them to the enrollment team.
Verified basic Medicare eligibility using provided tools and system checks. Scheduled and routed leads and applications to the appropriate agents or departments. Organized and processed incoming enrollment documents, including electronic and faxed forms.
Flagged data errors or incomplete information to prevent processing delays. Followed HIPAA guidelines when handling sensitive personal and insurance information. Worked with internal teams to keep records accurate and up to date. Independent Health & Life Insurance Broker
Data Entry Specialist Remote
12/2024 - Present
01/2023 - 11/2024
Insurance Broker Remote
Medigap Life
NORTHEAST HIGH SCHOOL
Philadelphia PA
C O R E S K I L L S
Data Entry & High Volume
Record Processing
Attention to Detail & Data
Accuracy
Microsoft Office (Excel, Word,
Outlook, Teams)
Documentation & Record
Maintenance
Time Management & Deadline
Driven Workflows
Organizational & Multitasking
Skills
Written & Verbal
Communication
Compliance with HIPAA &
Company Privacy Policies
Ability to Process Large
Volumes of Data with Accuracy
Self Motivated & Dependable
Ability to Work Independently
and in Team Based Remote
Settings
Quick Learner of New Systems,
Programs and Processes
E D U C A T I O N
High School Dipolma
Pennsylvania State Health Insurance
License
AHIP Certified (2026)
HIPAA & Data Privacy Training
W O R K E X P E R I E N C E C O N T .
Entered and verified patient demographic, insurance and billing information with a high level of accuracy. Ensured patient data transferred correctly between systems and matched submitted documentation. Assigned and verified correct payor information to prevent billing or reimbursement delays. Reviewed records to identify and correct discrepancies in patient, provider or insurance details prior to claim submission.
Followed payer billing requirements and internal company policies during all data entry and billing tasks. Communicated with internal teams to resolve missing or inaccurate information needed for claim processing.
Supported timely and accurate claim submission by ensuring billing data entry was complete. Maintained confidentiality and data security when handling sensitive patient and billing information. Assisted with additional administrative or billing tasks as needed to support daily operations. Managed auto insurance claims from first notice of loss through resolution, ensuring timely and accurate processing in compliance with company and regulatory guidelines.
Provided clear explanations of coverage, gathered statements and documentation, and maintained detailed and organized claims files. Collaborated with adjusters, legal teams and other departments to expedite claim resolutions and maintain smooth workflows.
Documented claim interactions and updates to support claim resolution. Utilized claims management systems to track progress, document interactions and generate reports to support operational efficiency. Billing Data Entry Specialist Remote
Claims Processor Remote
01/2023 - 10/2023
04/2022 - 12/2022
Populous (Pharmacy Copay Program)
All State
Data Entry Specialist Remote
Bloom Insurance 02/2018 - 03/2022
Entered and updated insurance applications, member information and policy details in internal systems.
Reviewed records for accuracy and missing information before routing to the appropriate team.
Verified payer and insurance details to ensure records were complete and correct. Processed and organized incoming documents, including electronic and faxed forms. Assisted with inbound calls as needed to clarify information related to applications or records.
Created and updated daily tracking logs and reports to support team workflows. Maintained confidentiality and accuracy when handling customer and insurance data.
Worked with team members to fix data errors and keep records up to date.
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