Senior Data Analyst with a strong focus on data integrity and accuracy. Expertise in conducting detailed research and analysis to identify and resolve discrepancies in provider records. Proven track record of improving data processes through automation and collaboration with cross-functional teams to enhance reporting capabilities.
Overview
2026
2026
years of professional experience
Work History
Senior Data Analyst
United Healthcare
July 1992 - Current
Conduct research and analyze provider records to identify and consolidate duplicate addresses.
Improve data accuracy by merging duplicate entries into a single record.
Utilize automation techniques to streamline data updates and minimize errors.
Identify discrepancies in address data that could lead to taxation issues.
Collaborate with cross-functional teams to enhance data integrity and reporting processes.
Provider Claims Analyst
Pilot Life - Jefferson Pilot
02.1986 - 07.1992
Maintained strict confidentiality with all personal data as per company guidelines.
Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Interacted with clients and employees, which helped cultivate positive working relationships.
Participated in ongoing training programs to stay current on industry developments and maintain a strong understanding of relevant laws and regulations affecting the claims process.
Conducted thorough investigations into each claim, gathering relevant data and documentation to support decision-making processes.
Reduced claims processing time by implementing efficient analytical techniques and strategies.
Maintained strong working relationships with third-party vendors, such as independent adjusters and appraisers, to facilitate prompt resolution of claims.
Provided exceptional customer service by promptly addressing inquiries from policyholders, agents, and other stakeholders regarding the status of their claims.
Continuously sought opportunities to streamline workflows and implement process improvements within the claims department, resulting in increased efficiency and productivity levels.
Assisted clients throughout the entire lifecycle of their claim, from initial filing to final settlement or denial determination.
Worked closely with legal counsel when necessary during complex cases involving litigation or arbitration proceedings related to disputed claim outcomes.
Streamlined workflow processes for improved efficiency and reduced claim resolution times.
Mentored junior team members, sharing expertise in claims analysis techniques and fostering professional growth within the department.
Examined claims forms and other records to determine insurance coverage.