Madelynn Wilkinson

City, State, Zip Code

Home: 000-000-0000 | Cell: 000-000-0000

email@email.com

Summary

Energetic and enthusiastic Claims Assistant motivated to succeed in a fast-paced and deadline-driven professional environment. Eight years of maintaining system integrity supporting department projects and providing administrative support to a manager or department. Driven professional trained in all aspects of insurance billing claims and collections.

Highlights
  • Claims file management processes
  • Medical terminology specialist
  • Insurance fraud expertise
  • Database management
  • Provider Payment Requests (PPR)
  • Workers’ compensation claims
  • Clerical support
  • Report writing
  • Computer databases (Stage I CCAP and GEARS)
  • Payment questions and problems
Experience
Lead Claims Assistant
12/1/2010 – Current
Company Name
City, State
  • Draft format produce edit and proofread a variety of documents as guided by general company practice
  • Analyze problems and determine effective resolutions or develop recommendations for action by supervisor
  • Support departmental projects following up on pending details and coordinating work with other team members
  • Coordinate complex activities between departments and outside parties to ensure requests are carried out and activities completed
  • Enter data into computer systems create or generate reports and ensure data integrity
  • Contact company personnel at all organizational levels to gather information and prepare reports
  • Provide a variety of fiscal services such as budget monitoring purchase ordering payment posting and verifying and routing invoices for payment
Claims Assistant II
11/1/2008 – 11/1/2010
Company Name
City, State
  • Set up new claims within 1 day preparing required letters and data integrity in claims system
  • Managed payment of all indemnity payments and responsibility for ongoing payment as needed along with creating required DWC notices
  • Completed all clerical tasks assigned such as file and serve documents to attorneys doctors employees and employers bill objection letters litigation referrals scheduling doctor appointments and requesting records
  • Fostered a teamwork attitude in the department to include maintaining good relationships with examiners and supervisor
Education
Bachelor of Science – Insurance Studies
XXXX – XXXX
City, State State University Northridge
City, State
  • Claims Assistant Specialization
Affiliations

National Society of Professional Insurance Investigators – Member

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