Summary

Overview

Work History

Education

Skills

Timeline

Cherie Schaffer

Aurora

Summary

Adept Claims Examiner with a proven track record at BCBSMN, excelling in data verification and verbal communication. Spearheaded training for new hires, significantly enhancing claims processing efficiency. Expert in analyzing medical records and recommending policy adjustments, ensuring a high level of coverage accuracy and client satisfaction.

Overview

23

23

years of professional experience

Work History

Claims Examiner

BCBSMN

Eagan

06.2002 - Current

Double-checked and reviewed documentation for denied and accepted insurance claims.
Approved payment requests based on established guidelines and criteria.
Provided training sessions for new employees on proper procedures for handling claims.
Paid and processed claims within designated authority level.
Processed claims payments and denials in accordance with company procedures.
Analyzed medical records to identify discrepancies between the claim and treatment history.
Reviewed and evaluated insurance claims to determine coverage and validity.
Collaborated with underwriters to recommend policy changes based on claim trends.
Handled and processed variety of claims.
Identified cases with processing deficiencies or requiring higher-level support and coordinated management.
Researched and followed up on denied insurance claims.

Education

Some College (No Degree) - General Studies

Mesabi Community College

Virginia, MN

Skills

Data verification
Coding systems
Verbal communication

Liability and coverage
Claims processing

Timeline

Claims Examiner

BCBSMN

06.2002 - Current

Some College (No Degree) - General Studies

Mesabi Community College