At UnitedHealth Group, I researched claims from initial review through resolution, investigating processing errors and communicating claim status to providers. I managed an average of approximately 110 claims per day.
At BroadPath Solutions, I processed Medicaid claims, researched edits preventing adjudication, and coordinated benefits with Medicare and other carriers. I also referred cases for appeals or medical review.
At Anthem, I reviewed provider requests involving claim payments and denials, researched root causes, and supported remediation of impacted claims. At PAN Foundation, I determined eligibility for disease fund grants and maintained HIPAA-compliant CRM documentation.
Most recently, at EMPOWER, I supported participants with retirement-plan questions and processed disbursement quotes and transactions. My experience also includes claims examination, quality review, and pre-certification and eligibility support.
