Level II Underwriter - Personal Lines (Auto & Property)
I’m an insurance underwriter with 2 years of experience specializing in evaluating risk and delivering tailored insurance solutions that align with client needs and business objectives. I’m passionate about using data and industry knowledge to make sound underwriting decisions that protect both the client and the insurer.
In my current role, I’ve developed a strong understanding of personal lines, working with tools like PowerBroker and Applied Rating Services and various Portals to streamline quoting, policy issuance, and risk assessment. I take pride in balancing detail-oriented analysis with responsive, client-focused service.
I thrive in fast-paced environments where accuracy, compliance, and collaboration are key. I’m always looking to grow professionally and connect with others in the insurance industry who are committed to excellence and innovation.
Medical Claims Examiner:
I previously worked as a medical claims examiner for 6 years with a focus on accuracy, compliance, and delivering fair, timely outcomes. With hands-on experience reviewing and processing health insurance claims, I ensure that each decision aligns with policy guidelines, regulatory standards, and medical necessity.
I take pride in my attention to detail and ability to interpret complex medical documentation, coding, and benefits information. Whether I’m identifying discrepancies, verifying eligibility, or communicating with providers, I always aim to maintain efficiency without compromising quality or service.
I’m passionate about contributing to a system that supports patients and providers while maintaining the financial integrity of the organization. I'm also continuously looking for ways to streamline processes and stay up to date on evolving healthcare policies and claims systems.
Let’s connect and share insights on the ever-changing world of healthcare and insurance.
• Responsible for the review, analysis and/or adjudication of claims incurred by eligible members to ensure that they are according to respective benefits plan, policies and standards and maintain the records system for these claims
• Ensures accurate review of claims document like LOA, hospital bills/SOA, concurrent review form, and physician’s report, original OR for use in processing claims.
• Checks on completeness of received claims documents.
• Reviews and match the endorsed document against the actual encoded data in the system Reviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards.
• Reviews, evaluates. Checks and/or adjudicates claims against ABC, CQS and utilization and existing company policies and procedures for coverage and effectivity of plan.
Verified
