Hannah Hulvey
South Pittsburg
Summary
Dynamic Medical Claims Examiner with over 5 years of specialized experience in healthcare claims processing and administration. Proven expertise in managing high-volume claims, resolving complex issues, and ensuring strict adherence to regulatory and organizational standards. Skilled in thriving in remote environments while juggling multiple priorities, maintaining exceptional quality, and fostering effective communication with internal stakeholders. Recognized for strong analytical problem-solving skills, meticulous attention to detail, and a commitment to documentation accuracy and timely project completion.
Overview
8
8
years of professional experience
Work History
Claims Examiner
BlueCross BlueShield of Tennessee
01.2023 - Current
- Process 100+ electronic medical claims daily with 99-100% accuracy by reviewing source documentation, applying benefit and coverage rules, and completing work within established turnaround times.
- Research complex claim issues using multiple enterprise systems, analyze supporting information, determine appropriate claim outcomes, and document findings and actions in clear, audit-ready records.
- Investigate discrepancies and coordinate corrective actions to resolve claim processing and payment issues accurately and efficiently.
- Interpret benefits, policies, coverage guidelines, and applicable state and federal requirements to support compliant claims decisions.
- Independently prioritize and monitor daily workloads to meet productivity, quality, and timeliness expectations in a remote environment with minimal supervision.
- Review claim documentation for completeness, identify missing or inconsistent information, and route issues to the appropriate department or subject-matter resource when additional review is required.
- Generate weekly Microsoft Excel reports to monitor performance trends, identify recurring processing issues, and improve workflow visibility for operational decision-making.
- Collaborate with internal departments to obtain information, resolve complex claim issues, and ensure timely completion of claim-related work.
- Maintain strict HIPAA, confidentiality, quality assurance, and documentation standards while handling sensitive member and provider information.
- Remote
Administrative Support Assistant II
University of Tennessee
07.2020 - 11.2022
- Maintained confidential records and supporting documentation for daily administrative operations, compliance requirements, and accurate file management.
- Reviewed and verified records for completeness and accuracy, corrected discrepancies, and routed information to the appropriate person or area.
- Prepared reports, tracked outstanding requests, and monitored documentation through completion within established deadlines.
- Managed multiple priorities independently while maintaining organization, attention to detail, and adherence to established procedures.
- Responded professionally to stakeholder information requests using clear written and verbal communication.
Advertising Account Executive
Jackson County Sentinel
01.2019 - 07.2020
- Reviewed client account records, contracts, billing information, and supporting documentation to verify accuracy and resolve discrepancies.
- Communicated directly with clients and internal departments to obtain required information, explain account issues, and coordinate timely resolutions.
- Maintained detailed account documentation, monitored open items, and completed reporting activities within established deadlines.
- Balanced multiple projects and customer requests in a fast-paced environment while providing professional service.
Paralegal
Mark T. Young & Associates
07.2018 - 11.2018
- Reviewed legal and supporting documentation for accuracy, completeness, and compliance with procedural requirements.
- Researched information from multiple sources, prepared organized case files, and maintained confidential records supporting case development and decision-making.
- Identified missing information and discrepancies, requested corrective documentation, and coordinated follow-up to preserve file integrity.
Clerk (Contract)
Marion County Election Commission
05.2018 - 07.2018
- Entered and verified voter records in state systems, resolved data inconsistencies, and maintained audit-ready files under strict accuracy and deadline requirements.
- Reviewed information from multiple sources, routed exceptions appropriately, and supported public inquiries while protecting confidential information.
Education
Bachelor of Interdisciplinary Studies -
University of Tennessee At Martin
Martin, TNAssociate of Science - Political Science
Chattanooga State Community College
Chattanooga, TN05-2018
Skills
- Claims processing expertise
- Strong oral communication skills
- Data accuracy assessment
- Detailed coverage evaluation
- Skilled in Microsoft Office tools
- Benefits assessment
- Records assessment
- Client support
- Detail-oriented data management
- Clerical coordination
- Effective time management
- Experienced with digital tools
- Documentation management
CORE COMPETENCIES
- Claims Processing
- Claims Research
- Claims Documentation
- Claims Review
- Claim Issue Resolution
- Workflow Monitoring
- Timeliness Management
- Trend Analysis
- Regulatory Compliance
- Quality Assurance
- Independent Decision-Making
- Case Documentation
- Records Management
- Provider and Stakeholder Communication
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Microsoft PowerPoint
Timeline
Claims Examiner
BlueCross BlueShield of Tennessee
01.2023 - Current
Administrative Support Assistant II
University of Tennessee
07.2020 - 11.2022
Advertising Account Executive
Jackson County Sentinel
01.2019 - 07.2020
Paralegal
Mark T. Young & Associates
07.2018 - 11.2018
Clerk (Contract)
Marion County Election Commission
05.2018 - 07.2018
Bachelor of Interdisciplinary Studies -
University of Tennessee At Martin
Associate of Science - Political Science
Chattanooga State Community College