Open to opportunities

Natalie Roosa

@natalieroosa

Message

Detail-oriented claims examiner with 9+ years' insurance experience and 98% accuracy.

United States

Message

What I'm looking for

I seek a role where I can apply my claims expertise and process-improvement skills, contribute to a collaborative team, and continue professional growth in insurance operations.

I am a detail-oriented claims examiner with over nine years of insurance experience, skilled at evaluating claims, ensuring regulatory compliance, and improving operational workflows to boost accuracy and reduce processing time. I consistently achieved high quality ratings—often 98–99%—and led training efforts that elevated team performance.

I have experience across claims examination, provider maintenance, benefits coordination, and customer-facing roles, and I successfully handled complex and high-value claims while maintaining strong communication with providers and policyholders. I am committed to process improvement, accurate data management, and delivering excellent customer service.

Experience

Work history, roles, and key accomplishments

Claims Examiner

Chesterfield Resources

Nov 2022 - Oct 2025 (2 years 11 months)

Reviewed and evaluated insurance claims to determine coverage and validity, reducing processing time through workflow improvements and maintaining an average 98% monthly accuracy rate.

& Compliance Data Analysis Process Improvement Training Quality Assurance Documentation

Provider Maintenance Specialist

Chesterfield Resources

Feb 2022 - Nov 2022 (9 months)

Managed provider demographic, credential, and contract data entry and maintenance, reducing provider entry errors and ensuring compliance with IRS rules and company standards.

Data Entry Data Validation Provider Relations Regulatory Compliance Attention To Detail

Customer Service Representative

Chesterfield Resources

Jun 2021 - Feb 2022 (8 months)

Served as primary contact for benefits and claims inquiries, handling high call volume with empathy and achieving a consistent 98% quality rating per month.

Customer Service Member Support Communication Problem Solving Quality Assurance

Coordination of Benefits Rep

Ameridial Inc.

Feb 2016 - Mar 2021 (5 years 1 month)

Verified primary and secondary insurance coverage for Medicare members to prevent duplicate payments, improving verification procedures and achieving a 99% phone interaction quality rating.

Insurance Verification Regulatory Compliance Record keeping Communication Quality Assurance Training