KA
Open to opportunities

Katina Alexander

@katinaalexander

Dedicated healthcare and insurance professional

United States

What I'm looking for

Seeking a challenging role that leverages my expertise in risk assessment and claims processing

As a seasoned healthcare and insurance professional with over 20 years of experience, I have developed a strong expertise in First Notice of Loss (FNOL) management and healthcare coordination. My proven ability to efficiently process claims, assess damages, and provide exceptional customer service has earned me a reputation as a dedicated and detail-oriented professional.

Throughout my career, I have honed my skills in risk assessment and claims processing, with a particular focus on aviation-related incidents. My strong leadership skills and experience in training and mentoring staff have enabled me to effectively manage teams and drive results.

I am committed to providing quality service and building positive relationships with clients and providers. With my strong analytical and data-driven capabilities, I am well-equipped to navigate complex claims and ensure accuracy and efficiency in the claims process.

Experience

Work history, roles, and key accomplishments

HC
Current

Health Coordinator

HCSC

Sep 2016 - Present (8 years 9 months)

Provided training, mentorship, and leadership to new hires, ensuring accuracy for member and benefit information. Conducted outreach to hospitals and medical records for discharge information and claims processing.

PC

Claims Adjuster - Aviation Division

Pilot Catastrophe

Aug 2021 - Nov 2022 (1 year 3 months)

Processed and managed FNOL for over 150 aviation-related claims, ensuring compliance with industry regulations. Conducted thorough investigations of loss incidents and collaborated with aviation experts to assess damages.

PC

Claims Representative

Pilot Catastrophe Claims

Dec 2021 - Aug 2021 (-1 years 8 months)

Assisted in the initial intake and processing of claims, ensuring all documentation was collected accurately. Enhanced claims processing efficiency, resulting in a 20% reduction in FNOL submission time.

AR

Insurance Verification Specialist

AIGB / True Results

Sep 2012 - Sep 2016 (4 years)

Managed outgoing calls, verified insurance for surgeries and appointments. Initiated pre-certifications, followed up on denied claims, with heavy data entry and document management.

CI

Provider Relations Sr. Associate

CIGNA

Jan 2010 - Mar 2011 (1 year 2 months)

Managed provider inquiries, concerns, and appeals, ensuring accurate billing for medical providers. Maintained effective communication with providers using various systems.

CI

Provider Data Maintenance/Team Lead

CIGNA

Apr 2009 - Jan 2010 (9 months)

Coordinated training for new hires and managed work distribution for the team. Liaison for analysts with Provider Relations, ensuring accuracy in provider data.

Education

Degrees, certifications, and relevant coursework

Katina hasn't added their education

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Tech stack

Software and tools used professionally

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Katina Alexander - Health Coordinator - HCSC | Himalayas