Karen Workman
@karenworkman
Processing Pro
United StatesWhat I'm looking for
Hello! I’m Karen Workman, a seasoned professional with extensive experience in claims processing, office administration, and customer service. I specialize in medical and dental claims, workers’ compensation, and legal/medical billing. Over the years, I’ve developed strong problem-solving skills, attention to detail, and a passion for assisting clients with their needs. I’m proficient in Microsoft Office and adept at handling confidential information while ensuring regulatory compliance. I’m always open to new opportunities where I can contribute my expertise and continue growing in a dynamic work environment. Let’s connect!
Experience
Work history, roles, and key accomplishments
Medical Dental Claims Adjuster
UFCW
Jan 2018 - Present (8 years 5 months)
Process medical and dental claims for various accounts. Handle inbound calls to resolve eligibility and claims payment issues from members and dental providers.
Medicaid Medical Claims Processor
Health Plan
Jan 2015 - Jan 2018 (3 years)
Processed eligibility and claims payment issues from members and providers. Managed inbound calls to resolve claims-related inquiries.
Customer Service Representative
Health Smart
Feb 2014 - Jan 2015 (11 months)
Provided customer service for commercial medical insurance accounts, ensuring timely responses to customer inquiries and issues.
Lost Time Claims Adjuster
Avizent
Jan 2011 - Feb 2014 (3 years 1 month)
Managed aspects of workers' compensation claims, ensuring timely payment of benefits and preparing for claim reviews with clients.
Claims Adjuster
Avizent
Jan 2009 - Jan 2011 (2 years)
Adjusted medical-only workers' compensation claims, processed claims for compensability, and maintained professional client relationships.
Claims Assistant
Avizent
Aug 2007 - Jan 2009 (1 year 5 months)
Assisted adjusters with various accounts, managed incoming mail, and handled phone inquiries.
Claims Processor III
Acordia National
Jan 1999 - Aug 2007 (8 years 7 months)
Processed medical and dental claims, adjusted claims based on customer service feedback.
Data Conversion Operator
US Postal Service
Feb 1994 - Jan 1999 (4 years 11 months)
Entered information from unreadable envelopes into the Conversion System to ensure proper mail delivery.
Clerical Worker
WV Worker's Comp
Dec 1990 - Feb 1994 (3 years 2 months)
Managed microfiche documentation, ensuring timely delivery of requested materials.
Education
Degrees, certifications, and relevant coursework
Griffithsville High School
High School Diploma, General Education
1991 - 1994
Completed high school education with a focus on foundational skills necessary for office administration and customer service roles.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
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