Teresa Underwood

Reviewed claim inventory to identify automation opportunities, enhancing workflow efficiency.

• Analyzed business processes to identify areas for improvement.
• Conducted individual training sessions for examiner staff to ensure comprehensive understanding of processes.
• Collaborated with systems area to test projects prior to production updates, ensuring smooth implementation.
• Answered questions for claims examiners and management.
• Completed research and documentation for attorney on staff for legal complaints.
• Processed pended claims to support inventory management.

• Conducted regular audits to maintain quality control standards.
• Provided recommendations for corrective action on identified issues from audits.
• Documented audit results and prepared reports for management review.
• Managed claim inventory effectively.

• Coordinated with healthcare providers to verify patient information and services, enhancing claims processing accuracy.
• Processed complex claims using advanced claims management software.
• Investigated discrepancies in claims through detailed research and analysis, resolving issues to maintain claim integrity.
• Reviewed claims for accuracy and compliance, ensuring adherence to company policies.