Kara Glos
@karaglos
Experienced Senior Claims Recovery Representative with a strong negotiation background.
What I'm looking for
With over 10 years in the insurance industry, I have honed my skills as a Senior Claims Recovery Representative at American National Insurance. My role involves conducting thorough investigations of insurance claims, reviewing essential documentation, and negotiating settlements that reflect reasonable value assessments. I pride myself on managing a high-volume caseload of subrogation claims, achieving a recovery rate of over 75%. My collaborative approach with legal counsel and adjusters has enhanced recovery strategies, ensuring maximum success in negotiations.
Previously, I served as a Senior Recovery Resolution Analyst at Optum United Healthcare, where I analyzed medical records and policies to resolve complex claims issues. My experience includes coding claims using CPT, ICD-10, and HCPCS, as well as negotiating settlements with claimants and attorneys. I have a proven track record of investigating bodily injury claims and determining liability, which has significantly contributed to my ability to maximize recovery for my clients.
Experience
Work history, roles, and key accomplishments
Senior Claims Recovery Representative
American National Insurance
Feb 2019 - Present (6 years 4 months)
Conducts thorough investigations of insurance claims to determine coverage, liability, and settlement options. Manages a high-volume caseload of subrogation claims with a 75%+ recovery rate.
Senior Recovery Resolution Analyst
Optum United Healthcare
Jan 2015 - Jan 2019 (4 years)
Analyzed medical records, policies, and billing information to resolve complex claim issues. Negotiated settlements with claimants and attorneys to efficiently resolve claims.
Front Desk Customer Service Manager
Honeysuckle Inn & Conference Center
Dec 2010 - Dec 2014 (4 years)
Led a front desk team to ensure quality customer service and resolved guest complaints promptly. Created SOPs for consistent service delivery and conducted performance evaluations.
Education
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Kara hasn't added their education
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