Molly Daniels

I’m a results-driven healthcare insurance claims professional with 9+ years of experience in Coordination of Benefits (COB), claims operations, quality review, associate training, and process improvement. I analyze and resolve complex COB claims involving multiple insurance carriers to ensure accurate benefit determination and claim adjudication.

I’m trusted as a subject matter expert for COB processes—researching member eligibility, coverage, and payment histories to identify primary and secondary payer responsibility. I investigate discrepancies, including overpayments, underpayments, and billing issues, while maintaining compliance with contractual and regulatory requirements. I also conduct quality reviews and audits to ensure accuracy, consistency, and adherence to departmental standards.

I bring a leadership focus that goes beyond my individual role: I train, mentor, and onboard new associates on claims processing procedures, COB guidelines, systems, and operational workflows. I lead departmental projects for process improvement and workflow optimization, facilitate team meetings, and act as a liaison between frontline associates and management to resolve escalated issues and improve communication across teams.