Quandranique Long
Greensboro
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering years of insurance experience.
Overview
9
9
years of professional experience
Work History
Claims Representative
Sidecar Health
07.2021 - 02.2024
- Successfully resolved escalated claims to ensure customer satisfaction
- Utilized effective problem-solving techniques to resolve complex customer issues
- Maintained accurate records of all communications with customers
- Processed and analyzed customer claims with accuracy and attention to detail.
Claims Processor
NTT Data
03.2018 - 06.2021
- Coordinated with medical providers to obtain additional information needed for claims processing
- Analyzed customer documentation for accuracy and completeness before processing claims
- Verified insurance coverage by reviewing policies, endorsements, and other documents
- Demonstrated strong communication skills while interacting with both internal staff and external customers.
Claims Analyst
Granada Insurance Company
06.2015 - 02.2018
- Collaborated with other departments to coordinate efforts in resolving complex claims issues
- Requested additional information and documentation to support and validate claim
- Resolved customer inquiries regarding claim status in an efficient manner
- Analyzed coverage and communicated coverage positions to facilitate claims process.
Education
Associate of Science - Health Information Technology
Ultimate Medical Academy
12.2018
High School Diploma -
Thomasville City School
06.2015
Skills
- Insurance Claims Review
- Decision-Making
- Policy understanding
- Claims analysis
- Data Interpretation
- Dispute tracking
- Document workflow
- Critical Thinking
- Conflict Resolution
- Computer Proficiency
- Microsoft Office
- Time Management
Timeline
Claims Representative
Sidecar Health
07.2021 - 02.2024
Claims Processor
NTT Data
03.2018 - 06.2021
Claims Analyst
Granada Insurance Company
06.2015 - 02.2018
Associate of Science - Health Information Technology
Ultimate Medical Academy
High School Diploma -
Thomasville City School
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