Christopher Huston Email & Phone Number

• Analyzed member cases to determine approval or denial of medical and dental appeals. • Inspected, analyzed, and compared member Explanation of Benefits and Summary Plan Descriptions.• Communicated with members and medical providers to obtain medical records, authorization forms, and case information.• Submitted medical records and documents to medical consultants for review of clinical appeals.• Prepared and presented case files for Board of Trustee review.• Submitted claim adjustments for appeal approvals.• Composed correspondence to members and medical providers.

• Analyzed member cases to determine approval or denial of grievances and appeals. • Inspected and reviewed member Explanation of Benefits.• Communicated with medical providers and facilities to maintain patient records and information.• Composed correspondence to members and medical providers.• Resolved CalPERS cases.• Triaged member cases to appropriate sectors of the department.

Thousand Oaks, Ca

• Executed customer service by use of problem-solving skills.• Reviewed medical and pharmacy claims.• Answered incoming and managed outgoing calls to members and providers.• Assisted members with membership payments.• Assisted members with reviewing their explanation of health benefits.

Bachelor Of Arts (B.A.), Urban Studies And Planning

Activities and Societies: Dean's List

Associate Of Arts (A.A.), Liberal Arts And Sciences