GREGG HUTCHISON
Bartlett
Summary
Results-driven Claims Examiner at Central States Health Funds with expertise in claims processing and data verification. Enhanced workflow efficiency, reducing claim processing time significantly. Demonstrated strong verbal communication skills while collaborating in cross-functional teams and identifying fraud risks, contributing to improved claims management and successful subrogation recoveries.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Examiner
Central States Health Funds
03.2014 - Current
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Mitigated fraud risks by identifying suspicious patterns in claims data and escalating concerns to appropriate teams for further investigation.
- Identified opportunities for subrogation recovery through careful analysis of third-party liability cases, facilitating successful recoveries from at-fault parties or their insurers.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Education
Bachelor of Science - Geography
Northern Illinois University
Dekalb, IL05-1992
Skills
- Claims processing
- Verbal communication
- Data verification
- Disability claims process
Certification
FLMI, Fellow Life Management Institute
Timeline
Claims Examiner
Central States Health Funds
03.2014 - Current
Bachelor of Science - Geography
Northern Illinois University
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