Medical Stop Loss Adjuster
CurrentHave all lines Personal Lines experience and now working for an Awesome company who cares about employees!
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Ann M. is listed as Medical Stop Loss Adjuster @ Tokio Marine HCC | All Lines Insurance Adjuster, Independent Adjuster, Workers Compensation Adjuster, Registered Medical Coder, Liaison, Revenue Cycle Analyst at Tokio Marine HCC, a with 2484 employees, based in Chattanooga, Tennessee, United States. AeroLeads shows a matched LinkedIn profile for Ann M..
Ann M. previously worked as Medical Stop Loss Adjuster at Tokio Marine Hcc and Revenue Cycle Analyst /Medical Coder at Practice Management & Resource. Ann M. holds Phlebotomy Technician/Phlebotomist from Indian River State College.
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I have experience as a Medical Stop Loss Adjuster at Tokio Marine HCC, a leading provider of specialty insurance products. I review and process complex claims for self-funded employers and TPA’s , ensuring compliance with medical coverage , ensure the policies are covered by special riders if needed , and correct coding guidelines. I hold a registered medical coder certification and an all lines adjuster license in Florida, demonstrating my proficiency and knowledge in the field.I am passionate about delivering excellent customer service, enhancing my skills and knowledge, and contributing to a culture of innovation. I work with multiple payer portals, EDI systems, and reports, applying analytical and problem-solving abilities to resolve issues and improve processes. I also collaborate with third-party payers, providers, and clients, demonstrating compassion, professionalism, and communication skills. My goal is to help self-funded employers and TPA’s manage their risks and benefits effectively and efficiently while watching the bottom line but with great customer satisfaction.
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Remote
Have all lines Personal Lines experience and now working for an Awesome company who cares about employees!
Chattanooga, Tennessee, United States
Reviews Complex Claims before processing , Reviews medical policies for exclusions and guidelines. Reviews EOB’S to ensure proper payment . Reviews Network contracts including any PPO reductions . Charges claims and reviews correct coding guidelines , Reviews and Audits Reports . Verifies COB coverage . Works with third Party payers . Sends Appeals and Corrected claims . Works in EDI daily . Uses multiple Payer portals to verify Eligibility and benefits.
Fort Pierce, Florida
Lead medical assistant and Medical coder
Fort Pierce, Florida
Medical assistant and billing/coding
Port St Lucie, Florida, United States
Sales representative
Other employees you can reach at tmhcc.com. View company contacts for 2484 employees →
Jenna Lock
Colleague at Tokio Marine HccGrays, England, United Kingdom
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Devontae Moore
Colleague at Tokio Marine HccBessemer, Alabama, United States
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Emma Peters
Colleague at Tokio Marine HccLondon, England, United Kingdom
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Dana Bossong
Colleague at Tokio Marine HccLindenhurst, New York, United States
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Sarah Budden
Colleague at Tokio Marine HccNeath, Wales, United Kingdom
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Mirlaine Tanis
Colleague at Tokio Marine HccKennesaw, Georgia, United States
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Megan Probach
Colleague at Tokio Marine HccMinneapolis, Minnesota, United States
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Catherine Chick
Colleague at Tokio Marine HccUnited Kingdom
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Kevin Sfez
Colleague at Tokio Marine HccFrance
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Vicky Edwards
Colleague at Tokio Marine HccMurrells Inlet, South Carolina, United States
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Activities and Societies: ChoirI love learning new things and applying myself. I am inquisitive and able to interact with people at all.
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Ann M. works for Tokio Marine HCC.
Ann M. is listed as Medical Stop Loss Adjuster @ Tokio Marine HCC | All Lines Insurance Adjuster, Independent Adjuster, Workers Compensation Adjuster, Registered Medical Coder, Liaison, Revenue Cycle Analyst at Tokio Marine HCC.
Ann M. is based in Chattanooga, Tennessee, United States while working with Tokio Marine HCC.
Ann M. has worked for Tokio Marine Hcc, Practice Management & Resource, Relation Insurance Services, Florida Orthopedic, and Radiation Oncology.
Ann M.'s colleagues at Tokio Marine HCC include Jenna Lock, Devontae Moore, Emma Peters, Dana Bossong, and Sarah Budden.
You can use AeroLeads to view verified contact signals for Ann M. at Tokio Marine HCC, including work email, phone, and LinkedIn data when available.
Ann M. holds Phlebotomy Technician/Phlebotomist from Indian River State College.
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