Suzanne Edmunds
About Suzanne Edmunds
Suzanne Edmunds is a Claims Quality Oversight Analyst at EmblemHealth, where she has worked since 2021. She has over 28 years of experience in the healthcare industry, primarily with Aetna in various roles related to claims and appeals.
Work at EmblemHealth
Suzanne Edmunds has been employed at EmblemHealth since 2021, serving as a Claims Quality Oversight Analyst. In this role, she is responsible for ensuring the quality and accuracy of claims processing. Her position involves analyzing claims data and implementing quality control measures to enhance operational efficiency. Based in Albany, New York, she contributes to the organization's commitment to providing reliable health insurance services.
Previous Experience at Aetna
Before joining EmblemHealth, Suzanne Edmunds worked at Aetna for 28 years in various roles. She began her career as a Medical Claims Technical Review Representative from 1989 to 1997, where she focused on the technical aspects of medical claims processing. Following this, she served as a Dental and Medical Appeals Coordinator from 1998 to 2000, managing appeals for both dental and medical claims. From 2000 to 2017, she worked as a Dental Consultant Assistant, further expanding her expertise in the healthcare claims sector.
Education and Expertise
Suzanne Edmunds studied at Mohawk Valley Community College, where she earned an Associate of Arts and Sciences (AAS) degree in Business Administration and Management. Her educational background provides her with a solid foundation in business principles, which she applies in her roles within the healthcare industry. This academic experience complements her extensive professional background in claims processing and quality oversight.
Career Timeline
Suzanne Edmunds has a comprehensive career timeline that spans over three decades. She began her tenure at Aetna in 1989, progressing through various positions until 2017. Her roles included Medical Claims Technical Review Representative, Dental and Medical Appeals Coordinator, and Dental Consultant Assistant. In 2021, she transitioned to EmblemHealth, where she continues to apply her extensive knowledge and experience in claims quality oversight.