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Stephanie W. | Elance
 
176985602337900
Last Sign-in: Jun 8, 2014

Stephanie W.

Experienced Claims Adjuster
   United States
  |   Choctaw, OK
  |  6:13 am Local Time

Overview

I have 24 years of experience in insurance as a Disability Benefits Representative, Team Leader, Auditor, Trainer, Claims Examiner, Customer Service Representative in the handling of medical, dental, vision, cancer, hospital indemnity, accident, life, disability, and workers' compensation claims.

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Skills (10)

Tested
Medical claims
disability claims
workers' compensation claims
reserve claims
pre-existing reviews
claim audits
claim appeals
claim management

Employment

American Fidelity Assurance Company
Disability Benefits Representative
2013 - 2014
• Determine eligibility and manage STD, LTD, and Workers’ Compensation claims • Provided both verbal and written customer service (including corresponding with claimants, medical providers,...
American Fidelity Assurance Company
Team Leader
2009 - 2013
• Managed team of 9 employees consisting of Auditors, Trainers, Pre-Existing Adjusters, and Support Staff. • Maintained audit report for all department adjusters • Assisted with complex claim...
American Fidelity Assurance Company
Auditor
2007 - 2008
• Audited variety of STD, LTD, and Workers’ Compensation claims including new reserve setups • Assisted adjusters with complex claim issues • Trained new claim adjusters
American Fidelity Assurance Company
Benefits Adjuster
2006 - 2007
• Determine eligibility and manage LTD and workers’ compensation claims • Provided both verbal and written customer service (including corresponding with claimants, medical providers, employers,...
American Fidelity Assurance Company
CSU Representative
2004 - 2006
• Provide customer service in a call center type environment. (This included taking incoming and making outgoing calls to claimants, medical providers, agents, brokers, employers, attorneys,...
Member Serice Life
Claims Adjuster
2000 - 2004
• Determine eligibility and manage variety of workers’ compensation, short term and long term disability claims (including subrogation and making home visits to claimants) • Audit life insurance...
American Administrative Group
Claims Examiner
1999 - 2000
• Processed medical, dental, and hospital indemnity • Evaluate and managed long term disability claims • Provided verbal and written customer service • Made claim adjustments including overpayment...
Cher Bumps and Associates
Claims Examiner/Trainer/Auditor
1996 - 1998
• Provide training program for claims personnel • Conducted internal audits on claims personnel including maintaining quality and production reports • Claim adjustments including overpayment...
Healthplan Services Inc
Claims Examiner
1995 - 1996
¿ Process medical and dental claims including predeterminations ¿ Made claim adjustments
The Principal Financial Group
Senior Claims Examiner
1990 - 1995
• Processed health claims and predeterminations • Conducted pre-existing reviews • Made claim adjustments including overpayment calculations and recovery • Provided both verbal and written customer...

Education

Chandler High School
High School
-
Mid America Vo-Tech
Computer Operations
-
Noble High School
High School
-
Overview  |  Job History  |  Resume/C.V.

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Identity
Username
StephanieW1
Type
Individual
Member Since
May 2014
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Stephanie W. | Elance

Stephanie W.