Claims Administrator | Workers’ Compensation & Insurance Claims | Customer Sup

Proficient in cold calling, lead generation, and customer outreach, with experience engaging prospects, qualifying leads, handling objections, and scheduling appointments to support business growth.

Proficient in claims processing, including claim submission, status verification, denial follow-up, and appeals. Skilled in reviewing claim accuracy, coordinating with insurance companies, and ensuring timely reimbursement while maintaining compliance with healthcare regulations.

Skilled in patient care and support, assisting patients with insurance verification, scheduling, billing inquiries, and healthcare-related concerns. Focused on providing excellent customer service, clear communication, and a positive patient experience while maintaining HIPAA compliance.

Experienced in working within HIPAA guidelines, ensuring the confidentiality and security of patient information while handling insurance verification, claims processing, and healthcare administrative tasks. Committed to protecting PHI and maintaining compliance with healthcare privacy regulations.

I have experience in insurance verification for U.S. healthcare and dental accounts, including verifying eligibility, benefits, coverage, deductibles, copays, and prior authorizations. I work closely with insurance companies and providers to ensure accurate patient information, reduce claim denials, and support smooth billing and claims processing.

I have over two years of experience in medical insurance, specializing in eligibility verification, benefits review, and claims and billing support. I regularly worked with patients and providers to clarify coverage, resolve claim issues, and ensure accurate documentation. My role required strong attention to detail, efficient follow-ups, and close coordination with insurance companies to help streamline claims processing and deliver a smooth, reliable patient experience.