Experience

Generali Global Health

• United Kingdom
• Insurance
• 1 - 100 Employee

• Claims Examiner

  • Oct 2009 - Present

  • Ensured legitimate claims were settled in accordance with policy limits and corporate guidelines • Apply creative problem-solving to selected claims, while adhering to policy definitions and regulations. • Reviewed claim files ensuring that estimates accurately reflected liabilities. • Promptly advise clients of decisions regarding claims. • Assisted in the provision of afterhours back up service for urgent claims matters • Prepares and reviews applicable data/reports efficiently. • Distribute claims to members of the team when required. • implemented changes to the USA claims process that resulted in a 32% increase output with no noticeable impact on quality • Consistently exceeded monthly claims processing KPIs by above 90%. Show less



Europ Assistance - Global Corporate Solutions (GCS) ITPA Division (formerly CMN Global Inc.)

• Claim/Benefit Customer Service Representative

  • Feb 2009 - Oct 2009

  • Answered phone calls inquiring claim statuses for providers. • Received and sent email for payment statuses. • Provided benefit verification for Generali Worldwide customers and facilities over the phone • Data entry cover sheets for claims administrators. • Receive and send out faxes requesting for explanation of benefits if needed. • Assisted in creating web portal for Generali Worldwide • Answered phone calls inquiring claim statuses for providers. • Received and sent email for payment statuses. • Provided benefit verification for Generali Worldwide customers and facilities over the phone • Data entry cover sheets for claims administrators. • Receive and send out faxes requesting for explanation of benefits if needed. • Assisted in creating web portal for Generali Worldwide