Insurance Analyst Resume Samples - Page 2

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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.

11

Insurance Analyst III

  • Monitor claims outstanding and report daily using various sorts to manage daily claim volumes and timelines according to policy.
  • Monitor claim errors by form and report trends, new incidents, duplications, track claims incorrect payer mix and unusual volumes.
  • Research and take action on all failed claims to bill or pend on hold for additional information by the end of the import day.
  • Follow-up and resolve claims in held status daily.
  • Bill secondary claims no less than twice a week.
  • Maintain age less than 5 days from import.
  • Process 55 to 100 claims addressed per day contingent on assignment.
  • Apply claim notes to provide detailed explanation to downstream users when claims are pending corrections.
  • Coordinate submission of supporting documentation, e.g., treatment plans, operative reports, EOB.
  • EPIC System.
Candidate Info
11
years in
workforce
2
years
at this job
HS
High School Diploma
12

Insurance Analyst

  • Make calls, email or fax requests for flood certificates and declarations pages.
  • Add information to spread sheet, EGS-WFMC INS, CATS and Strategy.
  • Scan documents to file net and attached to files.
  • Process mail received from mail room and assist with other duties as assigned.
Candidate Info
26
years in
workforce
2
years
at this job
13

Healthcare Insurance Analyst

  • Reviews, analyzes, and implements all healthcare and benefits requirements
  • Processed and audited workers compensation claims according to various medical fee guideline
  • Prepare high level user documentation and training materials for upper management
  • Communicate with physician facilities to ensure proper verification and coverages
  • Develops and executes system strategies to further simplify all claim procedures
  • Assist clients in resolving billing issues for Medicare, Medicaid, and private insurance
Candidate Info
16
years in
workforce
13
years
at this job
Business Management
Business Adminstration
14

Insurance Analyst

  • Identify payer specific trends
  • Act as primary resource to resolve NCCI issues
  • Facilitate problem-resolution by providing supporting documentation on trended payer issues
  • Ensure clean claim submission by reviewing ICD-10/CPT guidelines
  • Review and resolve 90 day AR reports
  • Insurance follow-up, denials, appeals
  • Monitor revenue cycle to identify/resolve claims not processing appropriately
  • Insurance verification, eligibility and benefits
Candidate Info
8
years in
workforce
3
years
at this job
AS
Billing And Coding
BA
Healthcare Administration
15

Insurance Analyst II

  • Investigate companies accused of violating FL insurance regulation
  • Utilize several state systems to verify company information
  • Research companies that are not complying with the state's laws and regulations
  • Interact with attorneys and company officers to achieve conclusions to the investigations
Candidate Info
9
years in
workforce
4
years
at this job
AA
Associate of Arts
BS
Political Science / Pre-law
MA
Business Administration / Health Services Management
16

Commercial Insurance Analyst

  • Research, and resolve insurance related issues for customers and management.
  • Maintain proper insurance record set-up, renewal reviews, and force placed coverage.
  • Review commercial loans to ensure compliance of loan documents, servicing contracts, and industry servicing standards.
  • Adhere to established timeliness and quality for insurance reporting.
Candidate Info
9
years in
workforce
4
years
at this job
Course
Accounting
Certification
17

Insurance Analyst

  • Identify and research medical cost claims for payment status and account closure verification
  • Ensure timely follow-up with customers and payers to maximize total dollars collected
  • Research claims and account information, document findings
  • Assisted guarantors with all aspects of account reconciliation and closure
  • Assisted supervisor and manager with peer interviews
  • Contacted customers to collect monies owed on past due accounts
  • Assisted clients with all aspects of account collection expediting account balance and closure
  • Used internet based applications to process invoices, handle inquiries and settle accounts
Candidate Info
22
years in
workforce
11
years
at this job
AAS
Business Management
18

Insurance Analyst L

Pharmacy Technician II

  • Investigate patient insurance history
  • Obtain prior authorization and appeal forms
  • Validate insurance and co-pay information
  • Maintain patients confidentially per HIPPA laws
Candidate Info
9
years in
workforce
2
years
at this job
HS
High School Diploma
19

Insurance Analyst

  • Verification of patient benefits
  • Authorization of surgical procedures
  • Patient registration
  • Collection of private pay/copayment
Candidate Info
9
years in
workforce
4
months
at this job
AAS
Human Services
20

Business Analyst/insurance Analyst, INSTEC

  • Maintains compliance with state regulatory mandates with various clients
  • Works with multiple companies in designing software
  • Customer service representative for some of our largest clients
Candidate Info
12
years in
workforce
9
years
at this job
BS
Historical Studies
MA
Public Administration

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