Anika L. Matthews

Responsible for answering member inquiries pertaining to their vision policies and eob’s.

Proactively reach out to providers on behalf of members in regards to a variety of issues and or concerns

• Manage title file processing, ensuring compliance with regulations and internal quality standards.
• Conduct detailed title searches, resolving discrepancies to prevent delays in closing processes.
• Serve as primary client contact for issue resolution, ensuring accurate and timely file completion.

• Guided retail clients through investment strategies, risk assessment, and financial planning.
• Analyzed client portfolios, identifying opportunities to improve performance and strengthen retention.
• Partnered with brokers and internal teams to deliver seamless client experiences.

• Delivered high-quality support by resolving member inquiries on benefits, claims, and coverage.
• Independently learned and applied procedural updates to streamline case handling.
• Escalated complex cases effectively, ensuring compliance with PHI and HIPAA guidelines.

• Provided frontline support for member eligibility, benefits, and claims inquiries.
• Delivered accurate policy information while maintaining compliance with healthcare regulations.

• Investigated insurance claims for accuracy and compliance, mitigating financial risk.
• Coordinated with adjusters and clients to resolve discrepancies and expedite claims.

• Supported healthcare providers and patients with lab service inquiries and insurance claims.
• Ensured confidentiality and compliance with HIPAA guidelines.

• Led reporting and reconciliation processes for merchant accounts, improving operational accuracy.
• Identified inefficiencies and implemented process improvements that increased team productivity.