Open to opportunities

Evelyn User

@evelynuser

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Experienced Claims Benefit Specialist with a focus on healthcare technology.

United States

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What I'm looking for

I am looking for a role that allows me to leverage my healthcare technology expertise while fostering collaboration and innovation in claims processing.

I am an experienced Claims Benefit Specialist with a strong background in healthcare technology implementation and member support operations. My proven ability to improve claims visibility and support benefit eligibility resolution has allowed me to streamline communication between IT and clinical stakeholders effectively.

Currently, I work at GE Healthcare, where I coordinate updates to radiology software systems that impact claims coding and eligibility data integration. My role involves facilitating the resolution of claim-related discrepancies and supporting the implementation of benefits visibility tools. Previously, as a Claims Operations Analyst at Kaiser Permanente, I participated in the rollout of scheduling and benefit display modules, enhancing member self-service access.

Experience

Work history, roles, and key accomplishments

Current

Claims Benefit Specialist

Current

GE Healthcare

Jan 2023 - Present (2 years 4 months)

Coordinated updates to radiology software systems, impacting claims coding, charge capture, and eligibility data integration. Facilitated resolution of claim-related discrepancies and supported implementation of benefits visibility tools. Collaborated across QA, clinical IT, and end-user teams to validate claims and benefits-related functionalities.

Claims Visibility & Eligibility Systems Jira Confluence

Claims Operations Analyst

Kaiser Permanente

Jun 2019 - Present (5 years 11 months)

Participated in the rollout of scheduling and benefit display modules within member-facing systems. Collected and analyzed user feedback to resolve claim eligibility errors and enhance member self-service access. Provided training materials and functional support for benefit navigation and claim status features, working cross-functionally with developers and compliance.

Benefits Review Claims Visibility Member Services

Education

Degrees, certifications, and relevant coursework

Lagos State University

Bachelor of Arts, Business Administration

Completed a comprehensive curriculum covering fundamental business principles. Focused on areas including management, finance, and marketing to build a strong foundation in business administration.