Insurance Analyst Resume Samples

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Insurance Analysts are responsible for reviewing applications for insurance and either approving or denying them. Typical resume samples in the field mention duties such as identifying excessive risks, maintaining company records, collecting further information from medical personnel and field representatives, and evaluating possibility of loss. A well-written resume example for Insurance Analyst usually mentions skills like insurance industry experience, analytical thinking, effective communication, time management, teamwork, and computer competences. A Bachelor’s Degree in finance or a similar field is required.

1

Insurance Analyst

Working on insurance costs with Risk Management:

  • Developed an insurance cost model that resulted in an improvement of monitoring savings achieved within EMEA subsequently adopted throughout the organisation.
  • Monitored areas providing potential savings opportunity.
  • Provided strategic advice regarding work and culture integration.
  • Assisted with translation of insurance documents to improve the insurance transition.
  • Liaised closely with Insurance Brokers, local Eaton/Cooper and Legal on claims and insurance coverage.
  • Responsible for delivering professional and technical advice on insurance section.
Candidate Info
15
years in
workforce
3
years
at this job
BA
Civil Engineering
2

Insurance Analyst II

Reviewed complex insurance and annuity contracts as well as viaticals and discount medical plan organization filings to verify compliance with applicable state statutes and Florida Administrative Code.

  • Provided written and verbal guidance to industry to identify deficiencies found in fillings.
  • Provided mentorship and training to new analysts based on my leadership, performance and extensive regulatory knowledge and experience.
  • Assisted Management with special projects as required.
Candidate Info
18
years in
workforce
16
years
at this job
BS
Risk Management / Insurance
3

Health Insurance Analyst

Monitors and maintains expertise on all guidance and requirements of agencies that regulate medical, insurance licenses and certificates including providing information/updates and technical assistance services as appropriate.

  • Establishes and maintains strong relationship with organizations/agencies that regulate policies and guidelines.
  • Responsible for sharing related billing, credentialing and FTCA policy changes or updates to staff and health center staff.
  • Developed and maintain a reimbursement procedure manual for FQHC's to utilize to orient new staff.
  • Provide on-site technical assistance training to community health center members of the association on billing and CPT correct coding guidelines.
  • Insure consistency of distributed messages and materials concerning private and public health insurance agencies.
  • Maintaining knowledge of commercial and governmental policy and procedural changes, ensuring the community health center staff is compliant with the changes.
  • Credentialing and enrollment services to contracted Federally Qualified Health Centers.
  • Primary sources verification of new and existing providers in a timely manner.
  • Establish relationship with health plans in addressing credentialing needs to help resolve billing and authorization issues.
  • Supervise staff of 3, training and monitoring the credentialing process. Reporting to the health centers the status of providers in the credentialing process. Monitor productivity and escalation issues. Conducting annual performance review.
Candidate Info
11
years in
workforce
4
years
at this job
BA
Sociology
4

Risk Management Insurance Analyst

  • Organized certificate of insurance and surety bond programs.
  • Logged pollution expenditures for reconciliation.
  • Prepared litigation and return to work reports for delivery to third party vendor.
  • Tracked and coordinated Auto Schedule for Delek vehicles.
  • Handled invoices for brokers and completed requests for escrow funding.
  • Ensured strategic objectives of the risk management were met, to include preparation for actuarial.
  • Utilized GRA Risk Management claims tracking software.
Candidate Info
22
years in
workforce
7
months
at this job
BS
Economics
5

Pain Management Insurance Analyst

  • Contact Commercial, Medicare, Medicaid and Managed Care insurance payer by telephone or through correspondence to obtain payment status for Pain Management, Home Infusion Therapy, Surgery and Imaging claims that are Out Of Network and Work Compensation and or personal injury Claims.
  • Answer incoming A/R inquiries and followed up and documented A/R collection, file proof of claims and handle attorney correspondence
  • Filed electronic and paper claims, worked aging report for outstanding account balances that was 120 days and older, appeals on paper and on the phone to insurance companies, that wasn't processed and paid per their contract or fee schedule. Followed company guidelines and refers accounts to collection agencies and adjusted off bad debt or per insurance discount with manager prior approval. Resolved discrepancies in a timely fashion, establish clear payment schedules to asses accounts to be re-billed due to the wrong carrier, note first report of injury, denied claim to prepare accounts to be written off and turned over to collections agency.
Candidate Info
7
years in
workforce
1
year
at this job
6

Insurance Analyst

  • Meet new business production goals and objectives as established.
  • Solicit for new business and grow sales revenue via telephone, email, networking, and other lead sources.
  • Develop insurance quotes for auto, house, workers compensation, make sales presentations, and close sales.
  • Maintain knowledge of new products and understand underwriting guidelines.
  • Work with customers on claims and maintain client relationships with follow up phone calls.
Candidate Info
7
years in
workforce
5
months
at this job
BA
Hispanic Literature And Philology, Minor: English Literature And Philology
MS
Nonprofit / Public / Organizational Management , Concentration: Project Management (honor Degree)
7

Insurance Analyst

  • Review medical insurance claims for completion and accuracy and submit claims for processing
  • Correspond with insurance companies to verify claim status until payment obtained
  • Utilize various software systems including; Relay Health, Horizon Practice Plus, Excel, Passport, Star Navigation, and McKesson One Content
  • Selected as the most recent hire to train new employees
Candidate Info
13
years in
workforce
9
months
at this job
HS
High School Diploma
8

Insurance Analyst

  • Underwriting insurance applications of ER physicians for our captive risk retention group
  • Querying claims database using SAP Business Objects to answer questions from senior management
  • Producing regular loss runs and claims histories to support credentialing processes and to support our actuarial consultant
  • Maintaining loss reserves, entering and reporting Expense and Indemnity payments
  • Legal reporting to National Practitioner Data Bank (NPDB) of settlements and judgments attributable to our providers
Candidate Info
26
years in
workforce
4
years
at this job
BA
Mathematics / Education
MS
Mathematics
9

Licensed Pharm Tech Insurance Analyst I-contractor

  • Analyze insurance benefits, processing and prior authorizations during scope of medication procurement.
  • Proficient in insurance billing claims processing, and prior authorizations.
  • Communicate with insurance payors and providers to investigate pharmacy and medical benefits.
  • Determine patient's financial responsibilities, quantity limits, and prior authorization or pre-certification requirements.
  • Determine medical information requirements and documents required by payors.
  • Licensed Pharmacy Technician.
Candidate Info
22
years in
workforce
1
year
at this job
BA
Political Science
10

Insurance Analyst, New Business Professional II

  • Process complex life insurance & annuity applications ensuring each case if effective and minimize turn-around time for approval.
  • Assist with special projects as needed or as appropriate.
  • Generates reports, correspondence and form letters for additional information.
  • Document files and follow-ups according to established procedures.
  • Follows appropriate procedures to approve and process reinstatement applications, conversions, and policy coverage changes within guidelines.
Candidate Info
8
years in
workforce
2
years
at this job
Pre-nursing

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