I have over five years of experience in insurance claims processing, primarily in the health insurance sector. I am well-versed in reviewing and evaluating claims for accuracy and completeness, ensuring compliance with state and federal regulations. My background includes working with various claim systems and software, which has enhanced my efficiency and accuracy in handling claims.

I manage high-pressure situations by maintaining a structured approach to prioritizing tasks. I use tools like task lists and deadlines to ensure that all claims are processed in a timely manner. Additionally, I communicate regularly with my team to delegate tasks effectively and maintain a smooth workflow, which helps in managing large volumes efficiently.

To ensure accuracy, I follow a meticulous double-checking process where I review each claim at least twice before finalizing it. I also stay updated with the latest regulations and guidelines to avoid any discrepancies. Utilizing automated checks within the claims software and collaborating with colleagues for peer reviews are additional strategies I employ.

When faced with disputes or discrepancies, I first gather all relevant information and documents to understand the issue fully. I then engage in clear and respectful communication with the involved parties to clarify any misunderstandings. If necessary, I consult with my supervisor or the legal department to ensure that the resolution complies with all regulations and policies.

In my previous role, I noticed that the claims processing time was significantly high due to manual data entry errors. I proposed and implemented a new training program for the team, focusing on data entry skills and the use of automated tools. This initiative reduced errors by 30% and improved overall processing time by 20%.