Taja smart
@tajasmart
Detail-oriented claims adjuster with a strong background in insurance.
What I'm looking for
I am a detail-oriented claims adjuster with over a decade of experience in assessing insurance claims. My strong background in the field has enabled me to successfully manage a high volume of claims, leading to a remarkable 25% increase in processing speed while maintaining exceptional customer service standards. I pride myself on my proficiency in data entry and documentation, ensuring that all claim forms are accurately coded and processed.
Throughout my career at Elevance Health, I have honed my skills in reviewing and interpreting insurance policies, engaging with policyholders, and evaluating the necessity of claim investigations. My dedication to resolving claim issues promptly not only enhances customer trust but also bolsters the company's reputation. I have effectively managed medical accounts, reducing receivables by 25%, and collaborated with collections agencies to pursue unpaid balances, ensuring a seamless claims process.
Experience
Work history, roles, and key accomplishments
Claims Adjuster
Elevance Health
Oct 2014 - Jun 2025 (10 years 8 months)
Reviewed and interpreted insurance policies to ensure proper application in claims processing. Engaged in regular communication with policyholders to provide updates on their claims status. Evaluated the necessity of claim investigation and determined the need for further action or escalation.
Education
Degrees, certifications, and relevant coursework
D.W. Waters Career Center
High School Diploma, Culinary Arts
2005 - 2006
Completed a high school diploma program with a focus on culinary arts. Gained foundational skills and knowledge in the culinary field.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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