Dorota Lindner
Lincoln
Summary
Results-driven Health Claims Analyst at Assurity Life Insurance with expertise in claims processing and policy analysis. Adept at investigating complex claims and ensuring accuracy through meticulous data verification. Proven ability to communicate effectively with policyholders, enhancing their understanding of coverage and claims decisions. Committed to delivering exceptional customer service and achieving optimal outcomes.
Overview
30
30
years of professional experience
Work History
Health Claims Analyst
Assurity Life Insurance
Lincoln
08.2023 - Current
- Communicated with policyholders to explain claims processes, coverage, and decisions.
- Investigated complex claims by gathering information from various sources to assess validity.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Reviewed police language, medical treatment records, medical bills, and any other medical supporting documents to process a claim.
- Monitored ongoing claims.
- Documented all claims activities clearly and concisely in the claims management system.
- Verified documents to ensure accuracy of information provided by customers.
- Checked into questionable claims, interviewing claimants to resolve errors and omissions.
Dental Office Manager
Northridge Dentalworks
Lincoln
09.1995 - 07.2023
- Entered patient data into the dental records system, Dentrix.
- Gathered and reviewed patient records, data and health history to share with dentists for quick and accurate patient assessments, diagnoses and treatment.
- Kept track of treatment information in patient records.
- Prepared bills and completed insurance forms using Dentrix software.
- Explained dental services and payment plans to help patients make informed decisions.
- Assisted the dentist in providing dental treatment to patients.
- Assisted the dentist and hygienist with documenting periodontal charting.
- Performed administrative duties such as scheduling appointments, answering telephones and updating patient records.
- Documented patient records with procedures performed and added notes taken to charts.
- Took bitewing, periapical, panoramic and occlusal X-rays and prepared for dentists to review.
Education
Associate of Science - Diploma in Dental Assistant
Southeast Community College
Lincoln, Nebraska, NE08-1995
Some College (No Degree) - Fashion Design
University of Nebraska, Lincoln
Lincoln, Nebraska, NESkills
- Claims processing
- Policy analysis
- Medical documentation
- Data verification
- Claims investigation
- Customer communication
Timeline
Health Claims Analyst
Assurity Life Insurance
08.2023 - Current
Dental Office Manager
Northridge Dentalworks
09.1995 - 07.2023
Associate of Science - Diploma in Dental Assistant
Southeast Community College
Some College (No Degree) - Fashion Design
University of Nebraska, Lincoln
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