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Claims Analyst Resume

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Dallas, TX

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Career Objectives

Processing work comp medical claims, auto liability, Filing claims, Review appeals and denials and request for overpayment and refunds when needed.

Summary of Qualifications

Processing worker comp medical claims, auto liability, Filing claims, Review appeals and denials and request overpayments and refunds.

Work History

July-2011-Nov-2011
Confidential- Plano, Texas
Claims Specialist

Process 100-150 workers compensation per day
Matched and batched claims for payment processing
Stamp incoming mail.

Mar 23, 2007 - Nov 20, 2009
Confidential - Addison, Texas
Bill Review Analyst

processing work comp medical claims, auto liability, filing claims, review appeals and denials and request for overpayments and refunds

Feb 06, 2004 - Mar 23, 2007
Confidential - Dallas, Texas
Claims

responsibility for reviewing and auditing claims and answering provider calls

Feb 02, 2002 - Feb 06, 2004
Confidential - Carrollton, Texas
Claims Analyst

Analyze Work comp claims per fee schedule, made adjustment to claims that need corrections. Review appeals and denials and request overpayment and refund when needed.

Feb 02, 2001- Feb 06, 2002
Confidential,- Plano, Texas
Private Insurance Collection

Calling different insurance companies/ guidelines.Doctors for outstanding balances, review appeals and denials on EOB\'s, Responsible for checking claims for correct coding per limit coverage

Education

Education Level: High School Diploma/GED
Major: General Study
Graduated: Yes

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