Dellycia Welker
@dellyciawelker
Dynamic Claims Liaison with expertise in claims resolution and project management.
What I'm looking for
As a dynamic Claims Liaison with extensive experience at Centene Corporation, I have honed my skills in claims resolution, project management, and workflow optimization. My proactive approach has led to significant improvements in payment processing accuracy and a reduction in billing errors. I am proficient in utilizing Amisys and OMNI to tackle complex claims issues, ensuring timely adjudication while fostering collaboration across teams.
Throughout my career, I have demonstrated a commitment to delivering exemplary customer service and driving operational efficiency. My critical thinking skills have enabled me to achieve outstanding results in claims processing and client support. I take pride in my attention to detail and time management abilities, successfully handling a large volume of claims while maintaining a focus on completing error-free work in line with processing guidelines.
Experience
Work history, roles, and key accomplishments
Claims Liaison I
Centene Corporation
Oct 2020 - Dec 2023 (3 years 2 months)
Led initiatives to improve claims processing accuracy and efficiency at Centene Corporation. Managed daily check runs and resolved discrepancies using data analysis. Collaborated with teams to address claims issues and enhance payment processing, resulting in reduced billing errors and improved project completion rates.
Support Liaison / Customer Service II
Centene Corporation
Oct 2018 - Oct 2020 (2 years)
Managed provider inquiries and escalations, utilizing Amisys and OMNI to ensure accurate claims processing. Improved communication efficiency by responding to portal emails and verifying provider statuses, which minimized billing disputes and enhanced collaboration across departments.
Analyst II, III, COB Verify Plot
Centene Corporation
Mar 2008 - Oct 2020 (12 years 7 months)
Optimized workflows and processed medical claims at Centene Corporation. Conducted research to resolve claims issues and maintained accurate documentation. Collaborated with teams to enhance claims resolution efficiency and reduce processing delays.
Education
Degrees, certifications, and relevant coursework
North St. Francois County R1
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Skills
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