Chuck Guzman Email & Phone Number

Baltimore, Maryland Area

Currently manage a team of both US and offshore Claims Examiners. Maintain continuous reduction in claims administration inventory while directing team members to the highest accuracy level possible. Promote a team working environment with the US and offshore team members by providing accolades for goals achieved and corrective action when goals not met. Ensure compliance with industry and governmental standards by performing certified company training. Conduct daily interface with our customers to ensure satisfaction and trust. Develop team members through continuous monitoring and auditing performance.

Baltimore, Maryland Area

Processed both professional and institutional claim types for commercial, medicare and medicaid lines of business. Processed all claims in a timely manner with minimal errors. Assisted with complex claims such as claims related to member reimbursements, special member issue claims and escalated issues from our clients. Worked in conjunction with Claims Team Lead to assist with any priority projects to complete in a timely manner.

Baltimore, Maryland Area

Worked in conjunction with the Provider Relations Team to update and maintain the provider database for the health plan. Worked internally with the claims and customer service team to ensure that all inquiries regarding the provider database were answered in a timely manner.