Syvel

US Claims Processor | US Customer Service Representative

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Overview

Looking for full-time work (8 hours/day)

at $5.70/hour ($1,003.20/month)

Bachelors degree

Last Active

March 10th, 2025 (3 days ago)

Member Since

July 26th, 2022

Profile Description

Experience in Claims Processor. Skilled at accurately reviewing and processing claims while adhering of HIPPA regulations. Skilled in using medical claims processing software and databases to input and track claims, ensuring accurate documentation and resolution. Excellent problem-solving, organizational, and time management abilities, combined with a commitment to providing high-quality service and maintaining confidentiality. Proven ability to resolve discrepancies, communicate effectively with healthcare providers and patients, and manage claims in a timely manner.
Professional Skills
Senior Client Claims Processor - 2 years & 1 months
Customer Service Associate – 1 year & 2 months
Customer Service Representative for Medicare – 2 years &
7 months
 
Client Industries
Health Insurance
Healthcare Providers
Healthcare Hospitals
Third Party Administrators
 
Software Expertise
Athenahealth
RingCentral
Zendesk
MS Office
Google Suite
Zoom

Top Skills

Experience: 2 - 5 years

Handles insurance claims for medical services, ensuring they are accurate, complete, and comply with regulations and policies. A role, mix of technical knowledge, attention to detail, and strong communication abilities.

Experience: 2 - 5 years

Provide a positive experience for claimants by being helpful, empathetic, and responsive. Handle complaints or appeals professionally and constructively.

Experience: 2 - 5 years

Responsible for confirming a patient’s or client’s insurance coverage, eligibility, and benefits. These skills ensure accurate billing, reduce claim denials, and enhance customer satisfaction. Below are the key skills for insurance verification.

Other Skills

Experience: 2 - 5 years

Clearly explain decisions to claimants and stakeholders. Collaborate effectively with policyholders, medical providers, and insurance adjusters. Maintain professional and empathetic communication during challenging interactions.

Experience: 2 - 5 years

Resolve disputes or conflicts regarding claim outcomes. Find creative solutions for complex or unusual claims.

Basic Information

Age
37
Gender
Female
Website
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Address
Libagon, Southern Leyte
Tests Taken
IQ
Score:  106
DISC
Dominance: 39%
Influence: 14%
Steadiness: 16%
Compliance: 30%
English
C2(Advanced/Mastery)
Government ID
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