DENINE LUNZ
4337 South 46th Street
Greenfield, WI 53220
(414) 546-4134
Email: denine.lunz@yahoo.com
Professional Profile:
Flexible/goal-oriented professional with successful career in the insurance, medical and customer service fields. Strong presentation, negotiation, and communication skills with ability to build lasting relationships. Experienced working with people from diverse cultures and professional backgrounds. Dedicated to providing the best quality service and performance excellence. Knowledgeable and resourceful with solid record of accomplishments.
Summary of
Qualifications:
Offering over ten years experience within the healthcare and insurance industry. Extensive history in review of medical records, and solid knowledge of medical terminology with HIPPA regulations. Have completed health insurance underwriting decisions, and accomplished insurance claim settlements with this knowledge.
Core Skills: Management/Leadership Organizational Development Quality Control Medical Record Analysis with Follow-up Recommendations Medical Terminology Fluency Evaluation of Case Settlements and Competent Decisions for Health Insurance Offers Proficiency with HIPPA Regulations and State Specific Requirements Resolved and Settled Applicants' Appeals Assessed, Evaluated, and Settled Worker's Compensation, General Liability and Auto Liability Claims
Education/Training:
Milwaukee Area Technical College – Milwaukee, Wisconsin
Medical Coding Technical Diploma Graduation: May, 2012
Courses: ICD10-Coding, ICD9-Coding, CPT Coding, Medical Terminology, Human Anatomy and Physiology
University of Wisconsin – Milwaukee, Wisconsin
Bachelors of Business Administration (BBA-Marketing)
Alpha Kappa Psi Fraternity-Chairperson, Fundraising
Certifications:
National Career Readiness Certification – May, 2011
Community
Services:
Aurora Healthcare, West Allis Memorial Hospital –Health Informational
Technician – In Medical Records Department
July 2011 to present
Reviewed and examined scanned batches of medical records for accuracy. Provided quality control of the computerized patient record system. Investigated and researched medical coder's backlog report ensuring all medical records were received for coding.
Professional
Affiliations:
National and Local Member of American Academy of Professional Coders (AAPC)
Key Accomplishments:
• Accomplished leadership and motivational training workshop to staff and groups
• Implemented and updated a training manual for insurance claims adjusters
• Conducted claim reviews with policyholders and brokers with saving analysis
• Completed structured cases insurance settlements with a value savings of over thirty percent
Work History:
HUMANA INSURANCE
Pewaukee, Wisconsin 2005 – 2010
Health Insurance Underwriter. Reviewed and evaluated applications to assess risk. Examined state specific requirements and HIPPA regulations. Solved customer needs with sales agents. Resolved and settled applicant's appeals. Reviewed medical records for application submissions.
WAUSAU/LIBERTY MUTUAL INSURANCE COMPANY
Milwaukee, Wisconsin 1999 – 2005
Case Claims Manager III. (Promotion) Assessed, evaluated, and settled general and auto liability claims. Examined applicable state laws to determine liability and values for special and general damages. Settled claims through mediation and arbitration. Reviewed policy terms and conditions to determine merits of a claim. Conducted claim reviews with policyholders and brokers.
LIBERTY MUTUAL INSURANCE COMPANY
Milwaukee, Wisconsin 1997 – 1999
Case Claims Manager II. (Promotion) Negotiated, compromised, and settled worker compensation claims. Settlements include lost time benefits and loss of earning costs. Negotiations included structured settlements with attorneys. Coordinated vocational retraining programs with compensation clients.
LIBERTY MUTUAL INSURANCE COMPANY
Milwaukee, Wisconsin 1994 – 1997
Case Claims Manager I - Managed, investigated, and resolved one hundred seventy five worker compensation claims. Experience with policyholders includes national, business, and assigned risk markets. Conducted quarterly claim reviews with policyholders. Coordinated third party investigations in order to recoup claim costs
4337 South 46th Street
Greenfield, WI 53220
(414) 546-4134
Email: denine.lunz@yahoo.com
Professional Profile:
Flexible/goal-oriented professional with successful career in the insurance, medical and customer service fields. Strong presentation, negotiation, and communication skills with ability to build lasting relationships. Experienced working with people from diverse cultures and professional backgrounds. Dedicated to providing the best quality service and performance excellence. Knowledgeable and resourceful with solid record of accomplishments.
Summary of
Qualifications:
Offering over ten years experience within the healthcare and insurance industry. Extensive history in review of medical records, and solid knowledge of medical terminology with HIPPA regulations. Have completed health insurance underwriting decisions, and accomplished insurance claim settlements with this knowledge.
Core Skills: Management/Leadership Organizational Development Quality Control Medical Record Analysis with Follow-up Recommendations Medical Terminology Fluency Evaluation of Case Settlements and Competent Decisions for Health Insurance Offers Proficiency with HIPPA Regulations and State Specific Requirements Resolved and Settled Applicants' Appeals Assessed, Evaluated, and Settled Worker's Compensation, General Liability and Auto Liability Claims
Education/Training:
Milwaukee Area Technical College – Milwaukee, Wisconsin
Medical Coding Technical Diploma Graduation: May, 2012
Courses: ICD10-Coding, ICD9-Coding, CPT Coding, Medical Terminology, Human Anatomy and Physiology
University of Wisconsin – Milwaukee, Wisconsin
Bachelors of Business Administration (BBA-Marketing)
Alpha Kappa Psi Fraternity-Chairperson, Fundraising
Certifications:
National Career Readiness Certification – May, 2011
Community
Services:
Aurora Healthcare, West Allis Memorial Hospital –Health Informational
Technician – In Medical Records Department
July 2011 to present
Reviewed and examined scanned batches of medical records for accuracy. Provided quality control of the computerized patient record system. Investigated and researched medical coder's backlog report ensuring all medical records were received for coding.
Professional
Affiliations:
National and Local Member of American Academy of Professional Coders (AAPC)
Key Accomplishments:
• Accomplished leadership and motivational training workshop to staff and groups
• Implemented and updated a training manual for insurance claims adjusters
• Conducted claim reviews with policyholders and brokers with saving analysis
• Completed structured cases insurance settlements with a value savings of over thirty percent
Work History:
HUMANA INSURANCE
Pewaukee, Wisconsin 2005 – 2010
Health Insurance Underwriter. Reviewed and evaluated applications to assess risk. Examined state specific requirements and HIPPA regulations. Solved customer needs with sales agents. Resolved and settled applicant's appeals. Reviewed medical records for application submissions.
WAUSAU/LIBERTY MUTUAL INSURANCE COMPANY
Milwaukee, Wisconsin 1999 – 2005
Case Claims Manager III. (Promotion) Assessed, evaluated, and settled general and auto liability claims. Examined applicable state laws to determine liability and values for special and general damages. Settled claims through mediation and arbitration. Reviewed policy terms and conditions to determine merits of a claim. Conducted claim reviews with policyholders and brokers.
LIBERTY MUTUAL INSURANCE COMPANY
Milwaukee, Wisconsin 1997 – 1999
Case Claims Manager II. (Promotion) Negotiated, compromised, and settled worker compensation claims. Settlements include lost time benefits and loss of earning costs. Negotiations included structured settlements with attorneys. Coordinated vocational retraining programs with compensation clients.
LIBERTY MUTUAL INSURANCE COMPANY
Milwaukee, Wisconsin 1994 – 1997
Case Claims Manager I - Managed, investigated, and resolved one hundred seventy five worker compensation claims. Experience with policyholders includes national, business, and assigned risk markets. Conducted quarterly claim reviews with policyholders. Coordinated third party investigations in order to recoup claim costs