Insurance Claims Representative Resume

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Here is the Insurance Claims Representative Resume example:

Hai James

600 Straford Park

Lexington KY 40505

(555)-555-5555

[email]

Job Objective Qualified Insurance Claims Representative seeking a position with growing firm in which to utilize my skills and expand my knowledge.

Highlights of Qualifications:

Huge experience in claims field and general group claims
Wide knowledge of medical terminology and computer programs
In-depth knowledge of insurance policies and coverage’s, claim payment procedures
Superior data entry skills and amazing ability to work autonomously
Ability to review and interpret complex and detailed documents
Ability to exercise judgment, and evaluate claims
Solid communication skills and excellent ability to nurture relationships
Efficiently professional and motivated with a sound positive attitude

Professional Experience:

Insurance Claims Representative

OrthoSynetics, Lexington KY

November 2006 – Present

Analyzed EOBs and evaluated patient’s provided insurance data and updated database and system.
Corresponded about denied claims to appropriate channels and resubmitted claims when required.
Evaluated accessions and submitted write-off.
Outlined course of action to smoothen payments and analyzed negotiated agreements.
Maintained proper patient billing and monitored mail/faxes and coursed appropriate actions.

Insurance Claims Representative

Nationwide Relocation Services, Lexington KY

February 2001 – October 2006

Updated imaged claims documents on Imaging System.
Aided Life, Short Term Disability and Long Term Disability claims areas.
Managed claims forms and document types.

Education

Bachelor’s Degree In Business

Drew University, Madison, NJ