1. ELLIS HADLOCK
5645 Fulton Ave ■ Van Nuys, CA 91401
801.472.0579 (h) ■ ellis4music@yahoo.com
CLAIMS PROCESSOR
Accomplished and results-driven professional with 15+ years of success specializing in claims processing
and team leadership in the health insurance industry.
Consistently meet or exceed production standards in quantity, accuracy, and timeliness. Confidently work in
both team and independent environments.
Quick learner, recognized for punctuality, willing to work overtime, and time-management skills.
Dedicated employee, committed to top-performance and achieving organizational goals.
SUMMARY OF SKILLS
10-Key ▪ Medical Terminology ▪ CPT/ICD-9 Coding ▪ Claims Management ▪ Adjustments
Provider Relations ▪ Document Processing ▪ Research & Resolution ▪ Data Entry ▪ Sorting
Telephone Etiquette ▪ Quality Assurance ▪ Filing ▪ MS Excel, Word ▪ WinXP, Win7 ▪ FEP Direct System
EXPERIENCE
REGENCE BLUE CROSS BLUE SHIELD – FEDERAL EMPLOYEE PROGRAM (FEP), SALT LAKE CITY, UT
Claims Service Analyst II, 2006 - Present
Analyze and timely process high-volume of professional and hospital claims, deferrals, and adjustments.
Demonstrate expert knowledge of medical terminology including CPT and ICD-9 codes, Health Care
Procedural Coding System (HCPCS), and Rev.
Skilled at processing numerous claim types, including outpatient, Medicare, cob, dental, surgery center,
home health, and overpayments.
Ensured prompt and quality handling of outstanding claims, including extensive follow up.
Communicated with providers, members, and other departments, via telephone, correspondence, and email,
to obtain missing information on claims.
BLUE CROSS OF CALIFORNIA - FEP, WOODLAND HILLS, CA
Senior Claims Examiner, 2002 - 2006
Claims Lead, 2000 - 2002
Claims Examiner, Prior - 2000
Achieved progressive leadership advancement by demonstrating superior analytical and claims processing
talents.
Oversaw <how many? 15 examiners and ensured best practices on quality, production, and timeliness;
facilitated training and performance reviews.
Processed all claim types and verified all required documentation for acceptability. Reviewed and resolved
input errors and eligibility issues.
Participated in giving presentations at department meetings.
Quickly learned new processes and computer applications to perform daily job requirements.
Ensured first-rate customer service and clerical tasks; answered telephone inquiries regarding claims status
and eligibility, handled filing and sorting, and processed mail.
EDUCATION
Microsoft Excel and Windows Certification – CompUSA, Woodland Hills, CA
