Anaya Belle

Process high-volume life insurance transactions, including policy loans, surrenders, and dividend distributions, while validating banking information and related financial documentation. Identify discrepancies in submitted forms and update internal records to support accurate payment processing and compliance.

Research and analyze claims discrepancies, appeals, and escalated cases to identify root causes of denials and payment errors. Prepare case summaries and reports while monitoring trends and ensuring compliance with HIPAA and applicable federal/state and client guidelines.

Analyze operational workflows and system performance to identify inefficiencies and improve processing accuracy in high-volume transaction environments. Conduct root cause analysis on system errors and data discrepancies, document processes, and monitor performance trends to reduce operational disruptions.

Manage auto liability/causality claims by determining compensability and benefits due, while monitoring reserve accuracy and maintaining properly documented claim files with correct coding. Handle workers compensation action plans to resolution, coordinate return-to-work efforts, manage subrogation and settlements, and process complex medical and disability-related claim payments.

Provide front-desk medical administration including patient registration, appointment scheduling, and insurance eligibility verification. Support medical billing by verifying insurance, collecting copays, entering billing data, and applying basic ICD-10 and CPT coding knowledge while following HIPAA and insurance protocols.

Earned a Dental Assistant certification from Louisiana Dental School of Dental Assisting in November 2019.

Earned a High School Diploma from East Ascension High School in May 2019.