Registered Nurse with experience in international medical insurance operations including prior authorization and claims adjudication for inpatient and outpatient services. Skilled in benefits verification, medical necessity review, policy interpretation, and coordination with healthcare providers and members. Proven ability to handle inquiries, resolve escalations, and ensure accurate and timely processing while meeting quality and service standards. Seeking a healthcare or insurance support role where clinical knowledge and customer service skills can improve patient and provider experience.
