Love Pink
@lovepink
Experienced Claims Analyst with a strong background in operations support.
What I'm looking for
With over nine years of experience in operations support and claims analysis, I have developed a robust skill set that enables me to enhance team collaboration and improve processes effectively. My journey began in the health insurance sector, where I honed my expertise in claims processing and analysis, ensuring accuracy and efficiency in complex pricing and audits.
At Centene, I played a pivotal role as a Provider Data Analyst, where I collaborated with multifunctional teams to create scalable data solutions that aligned with organizational objectives. My ability to analyze and forecast complex data has significantly contributed to strategic planning and process enhancements. I am passionate about continuous improvement and have a proven track record of resolving complex claims issues while advocating for operational efficiency.
Experience
Work history, roles, and key accomplishments
Provider Data Analyst
Centene
Mar 2019 - Jan 2024 (4 years 10 months)
Collaborated with multifunctional teams to create scalable data solutions aligned with organizational objectives. Led data design initiatives and analyzed complex data to contribute to strategic planning and process enhancements.
Claims Analyst II
WellCare
Mar 2015 - Mar 2019 (4 years)
Analyzed and adjusted claims for accuracy, resolving provider and member disputes. Conducted root cause analysis on escalated issues and participated in continuous improvement initiatives.
Mortgage Loan Processor
Bank of America
Feb 2014 - Jan 2015 (11 months)
Initiated and maintained contact with clients for home equity loan fulfillment. Monitored loan processes and addressed deviations to ensure timely services.
Education
Degrees, certifications, and relevant coursework
Cornerstone Christian
2009 -
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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