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Ieisha DyerID
Open to opportunities

Ieisha Dyer

@ieishadyer

Workers' compensation claims professional at Selective Insurance reviewing medical records and authorizing payments.

United States
Message

What I'm looking for

I'm seeking a remote Revenue Cycle, Medical Billing, Insurance Follow-Up, Denials Management, or Accounts Receivable role where I can apply my healthcare reimbursement and claims expertise.

At Selective Insurance, I manage workers' compensation claims, review medical records and treatment plans, and determine claim eligibility and benefit authorization.

In my current role as a Workers' Compensation Claims Representative I, I review coverage, authorize medical payments, and coordinate with providers, employers, injured workers, attorneys, and vendors to resolve claim issues.

As a Workers' Compensation Complex Medical Only Adjuster, I investigated claims involving causality issues, denials, medical claim petitions, and coverage determinations. I reviewed provider billing and medical documentation, processed payments within my authority, and evaluated claim exposure.

I began at Selective Insurance as a Workers' Compensation Claims Technician, verifying coverage, reviewing provider invoices, and processing claim documentation. I'm seeking to apply my claims and reimbursement experience in a remote revenue cycle, medical billing, insurance follow-up, denials management, or accounts receivable role.

Experience

Work history, roles, and key accomplishments

Selective Insurance logoSI
Current

Workers' Compensation Claims Representative I

Jan 2025 - Present (1 year 8 months)

Manage a caseload of workers' compensation claims, review medical records, and authorize payments in compliance with state regulations. Investigate claim issues and coordinate with stakeholders to resolve complex claims.

Education

Degrees, certifications, and relevant coursework

North Carolina Central University logoNU

North Carolina Central University

Bachelor of Science, Recreation Administration

Bachelor of Science in Recreation Administration with a minor in Management from North Carolina Central University.

Tech stack

Software and tools used professionally

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