Clanece Thompson, Mba Email & Phone Number

Orlando, Fl, Us

Orlando, Fl, Us

United States

Remote

Charlotte, North Carolina, United States

Orlando, Florida

Lake Mary, Fl

Confirms coverage and conducts full investigation to determine liability for Auto Property Damage Claims.Takes statements when necessary and works with the Field Appraisal, Subrogation and Special Investigative Unit (SIU) as appropriate.Extensive interaction with Insured's, Claimants, Agent's and Internal Customers.Establishes and enters claim reserve requirements and makes adjustments, as necessary, during the processing of the claims.Documents actual damages associated with claims, and processes claim settlements within assigned authority limits.Maintains/manages diary of pending claims and manages incoming correspondence. .Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed.

Orlando, Florida Area

-Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information. -Contacts Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.-Explains necessary forms and obtains signatures from patient/guarantor. -Contacts appropriate payers, verifying benefits and obtaining necessary authorizations. -Explains insurance benefits and collects co-pays, deductibles and self pay portions due. -Collects for related professional care when appropriate. -Demonstrates a basic knowledge of third party reimbursement requirements and regulations. -Exhibits competency in the use of all registration systems, electronic verification tools and Web based resources. -Follows Patient Financial Services self pay policies including completion of Guarantor Financial Statement Application, explanation of payment options and collections of monies due. -Maintains basic understanding of the medical necessity screening process and appropriate systems-Performs appropriate pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.

Master Of Business Administration - Mba

Bachelor Of Science (Bs), Management Information Systems, General