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McKenzie Young

@mckenzieyoung

Highly motivated Claims Specialist in insurance, blending claims processing, customer service, and data analysis.

United States
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What I'm looking for

I’m looking for a claims role where I can apply claims processing, utilization management, and data analysis to support accurate authorizations and denials, while delivering responsive customer service and continuous improvement.

I am a highly motivated Claims Specialist with a track record in the insurance industry, skilled in claims processing, customer service, and data analysis. I focus on accuracy, follow-through, and clear communication to move claims and authorizations forward.

In my UM Coordinator role, I handled appeals, denial letters, authorizations, and clinicals. I also completed document work such as attaching files and faxing them to facilities to support timely decision-making.

As a Medical Claims Processor, I processed medical claims across categories including radiology, ambulance, hospital, and SNF. I worked through payments, authorization creation and denials, medical claim adjusting, and coding.

Earlier, I supported members and claims through Medical Billing Processor work and a Customer Service Representative role. I processed billing adjustments, handled inbound calls with HCPS regarding member bills with BCBS, and managed customer interactions related to reimbursement checks while maintaining accountability and attention to detail.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

FS

Freedom High School

High school or equivalent, Business

2014 - 2018

Completed a high school education with a business focus at Freedom High School in Tampa, FL from 2014 to 2018.

Tech stack

Software and tools used professionally

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