OE
Open to opportunities

Omoye Edobor

@omoyeedobor

Detail-oriented claims representative with expertise in insurance processing.

United States
Message

What I'm looking for

I am seeking a role that offers opportunities for growth and a collaborative environment focused on improving healthcare access.

I am a detail-oriented and analytical claims representative with over 5 years of experience in reviewing and processing medical, dental, and supplemental insurance claims. My skills include interpreting policy benefits, validating medical coding, and identifying errors to ensure compliance with established guidelines. I have a proven track record of working independently and meeting productivity benchmarks while collaborating across virtual platforms to maintain efficient workflows.

Throughout my career, I have consistently exceeded quality expectations in fast-paced environments. My experience includes roles at Dial America, where I review high-volume claims, and as a Medicare Enrollment Specialist, where I assist clients in understanding their Medicare options. I pride myself on my ability to navigate multiple systems simultaneously and maintain audit-ready records, ensuring accuracy and compliance in all my work.

Experience

Work history, roles, and key accomplishments

DA
Current

Claims Representative

Dial America

Sep 2023 - Present (1 year 10 months)

Reviewed and processed high-volume medical and dental claims weekly, ensuring accuracy, completeness, and policy compliance. Researched policy benefits and provider documentation to assess eligibility and confirm required authorizations.

RH

Insurance Follow-Up Representative

REmx for Change Healthcare

Feb 2019 - Present (6 years 5 months)

Ensured timely and accurate reimbursement by conducting thorough follow-up with commercial and government insurance carriers on unpaid and underpaid claims. Identified and corrected claim discrepancies to maximize payment.

Education

Degrees, certifications, and relevant coursework

BU

Benson Idahosa University

Bachelor of Arts, Arts

Completed a Bachelor of Arts degree, gaining foundational knowledge and skills. The curriculum provided a broad education, preparing for various professional paths.

Tech stack

Software and tools used professionally

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Omoye Edobor - Claims Representative - Dial America | Himalayas