Health Insurance Claims Associate with extensive expertise in end-to-end claim adjudication and claims adjustments. Specialized in resolving complex billing discrepancies and rectifying member over-applied amounts to ensure 100% financial accuracy. A proven contributor to Member IQT (Internal Quality Tracking) and high-priority special projects aimed at streamlining departmental workflows and maintaining regulatory compliance."
Health Insurance Claims Associate with extensive expertise in end-to-end claim adjudication and claims adjustments. Specialized in resolving complex billing discrepancies and rectifying member over-applied amounts to ensure 100% financial accuracy. A proven contributor to Member IQT (Internal Quality Tracking) and high-priority special projects aimed at streamlining departmental workflows and maintaining regulatory compliance and I worked on SPMM projects.