Claims Examiner
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Claims & Risk Analyst | Senior Claims Expert | Fraud Risk Specialist | Insurance Claims Pro | Data-Driven Auditor | Quality & Risk Lead | FinTech Risk Analyst
Dynamic Claims Examiner with over 4 years of experience in processing healthcare insurance claims and maintaining compliance with regulatory standards. Acquired expertise in ClaimXten software, achieving 99% accuracy in claim adjudication while serving as a Subject Matter Expert and transitioning to a Quality Auditor role. Known for mentoring teams and enhancing operational efficiency.
Eager to leverage a strong knowledge of accident benefits to add value and ensure optimal claims processing and customer satisfaction in the senior claims adjuster role.
Postgraduate in Fraud Investigation and Risk Management (2024–2025)
Conestoga College, Canada
Focused on criminal law, fraud detection, forensic accounting, and compliance. Gained specialized skills in insurance fraud prevention and risk assessment.
