Jenifermarian D

As a Claim Adjudicator, I possess extensive knowledge and experience in reviewing and analyzing insurance claims to ensure accuracy and compliance with company policies and procedures. With strong attention to detail, I have the ability to investigate and resolve complex claim issues while maintaining a high level of productivity and meeting established deadlines. My expertise in interpreting and applying insurance policies and regulations enables me to make sound decisions when determining claim eligibility and benefits. I am highly skilled in utilizing various software and databases to process and manage claims

With a strong commitment to quality and customer service, I have a proven track record of consistently meeting or exceeding performance metrics and delivering exceptional results. I am dedicated to providing exceptional service and support to clients while ensuring compliance with all regulatory requirements.

Achieved Good performer award by completing the target with accuracy and efficiency and also got promotion as Senior Process executive.

• FACETS - Facets is a comprehensive healthcare administration solution widely adopted by payer organizations to streamline various processes, including claims adjudication. Facets automates the entire claims processing lifecycle, enhancing efficiency and accuracy in determining claim outcomes.
• BLUE2 - Managed and processed ITS claims using BLUE2 tool ensuring accuracy and compliance with project requirements.