Lecresha McClendon
Columbus
Summary
Detailed claims processor with several years of experience investigating claim information for correctness. Trustworthy teammate with benefit knowledge and rapport-building skills. Noted for thoroughness and ethical customer service.
Overview
10
10
years of professional experience
2017
2017
years of post-secondary education
Work History
Claims Processor
Cigna
01.2023 - Current
- Reviewed documentation for compliance with company policies and regulations.
- Collaborated with healthcare providers to clarify claim details and requirements.
- Processed a high volume of incoming claims in accordance with established policies and procedures.
- Verified claim data correctness in preparation for processing.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
Virtual Claims Specialist
Kaiser Permanente
04.2022 - 07.2024
- Reviewed and processed claims for accuracy and compliance with regulations.
- Collaborated with healthcare providers to obtain necessary claim documentation.
- Investigated discrepancies in claims to ensure timely resolution.
Claims Analyst
Capital One
06.2016 - 10.2020
- Analyzed claims to determine eligibility and compliance with policies.
- Reviewed documentation for accuracy and completeness before processing.
- Collaborated with team members to resolve complex claims issues efficiently.
Education
Kendrick Highschool
Columbus, GASkills
- Claims processing
- Regulatory compliance
- Data verification
- Documentation review
- Effective communication
- Claims review
Timeline
Claims Processor
Cigna
01.2023 - Current
Virtual Claims Specialist
Kaiser Permanente
04.2022 - 07.2024
Claims Analyst
Capital One
06.2016 - 10.2020
Kendrick Highschool