Karen Workman

Process medical and dental claims for various accounts. Handle inbound calls to resolve eligibility and claims payment issues from members and dental providers.

Processed eligibility and claims payment issues from members and providers. Managed inbound calls to resolve claims-related inquiries.

Provided customer service for commercial medical insurance accounts, ensuring timely responses to customer inquiries and issues.

Managed aspects of workers' compensation claims, ensuring timely payment of benefits and preparing for claim reviews with clients.

Adjusted medical-only workers' compensation claims, processed claims for compensability, and maintained professional client relationships.

Assisted adjusters with various accounts, managed incoming mail, and handled phone inquiries.

Processed medical and dental claims, adjusted claims based on customer service feedback.

Entered information from unreadable envelopes into the Conversion System to ensure proper mail delivery.

Managed microfiche documentation, ensuring timely delivery of requested materials.

Completed high school education with a focus on foundational skills necessary for office administration and customer service roles.