RENEE AILYN MORTEL

Responsible for performing data entry, validation, and research across multiple systems and tracking tools to support accurate and efficient claims processing. Applies knowledge of established processes, policies, and healthcare systems to identify, assess, and resolve both standard and non-standard issues.

Ensures all U.S. healthcare claims are processed in accordance with client-specific guidelines, regulatory requirements, and internal quality standards. Maintains a high level of accuracy, productivity, and compliance, consistently meeting or exceeding contractual performance metrics.

Analyzes discrepancies, resolves claim-related issues, and escalates complex cases when necessary. Contributes to continuous process improvement by identifying opportunities to enhance workflow efficiency, reduce errors, and strengthen overall operational performance.