Detail-Oriented Claims Processor with Data Analysis Proficiency

Summary

Skills

Experience

Education and Training

Allen McNabney

Lawrence, KS 66047 785-***-****

***********@*****.***

Detail-oriented claims processor with proven skills in claims processing, data analysis, and compliance verification. Committed to delivering accurate results and enhancing operational efficiency. Documentation review

Claims processing

Data analysis

Compliance verification

Claim adjustment

Customer relationship management

Policy adherence

Quality assurance

Problem solving

Attention to detail

Data entry proficiency

Claims processing software

Accuracy and precision

Adaptability and flexibility

Teamwork

Multi-tasking

Initiative-taking

claims processor II, 03/2017 02/2025

SS&C Kansas City, Missouri

Processed claims efficiently using proprietary software and established guidelines. Reviewed documentation for accuracy and compliance with company standards. Collaborated with team members to resolve claim discrepancies and issues. Participated in team meetings to discuss workflow enhancements and operational efficiency. Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.

Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data. Claims Processor III, 05/2006 05/2015

Anthem Denver, CO

Processed claims accurately and efficiently following established guidelines. Reviewed claim submissions for completeness and compliance with policies. Collaborated with team members to streamline claims processing workflows. Processed a high volume of incoming claims in accordance with established policies and procedures. Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data. Performed additional duties as requested by management team. 05/1999 Emporia State University Emporia, KS

Bachelor of Arts Theatre

05/1999 Emporia State University Emporia, KS

Bachelor of Science History

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