Thomas Keeney
Jeffersonville,IN
Summary
Analytical Claims Adjudicator skilled in processing claims paperwork and negotiating settlements to foster growth and client satisfaction. Offering advanced knowledge of client account management and claims adjustment illustrated over 7 years of industry experience.
Overview
9
9
years of professional experience
Work History
Claims Adjudicator
Evolent Health
Louisville, KY
01.2018 - 02.2024
- Verified that payments were made according to contracted terms between provider and insurer.
- Monitored changes in state regulations pertaining to insurance coverage for medical services.
- Responded promptly to inquiries from members about their benefits or coverage status.
- Investigated discrepancies in medical billing codes, patient information, and other data related to claims processing.
Provider Customer Service Representative
Evolent Health
Louisville, KY
11.2017 - 11.2018
- Maintained accurate records of customer interactions and transactions.
- Followed company procedures for handling customer requests and complaints.
- Adhered to all relevant data protection laws when dealing with confidential information.
- Provided support to customers over the phone, email and chat.
- Developed effective relationships with customers through friendly communication.
- Resolved customer complaints in a timely manner.
Lawn Care Technician
Black Diamond Pest Control
Jeffersonville, IN
03.2016 - 10.2017
- Conducted yard maintenance tasks according to contract and to meet customer satisfaction.
- Utilized power tools such as mowers, trimmers, blowers, and edgers.
- Checked equipment for safety before use.
- Applied fertilizers and herbicides to lawns according to manufacturer's instructions.
- Answered customer questions regarding care and general knowledge of landscape.
Customer Service Manager
Rural King
Jeffersonville, IN
10.2015 - 12.2015
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- Established positive rapport with customers, managers and customer service team members to maintain positive and successful work environment.
- Maintained knowledge of company products and services to promptly resolve complaints and concerns.
Sales Associate Specialist
Rural King
Jeffersonville, IN
01.2015 - 10.2015
- Helped customers find specific products, answered questions, and offered product advice.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
- Engaged customers in friendly, professional dialogue to determine needs.
Education
Some College (No Degree) - Journalism
Indiana University Southeast
New Albany, INSkills
- Policy Coverage Expertise
- Claims Processing
- Insurance Claim Regulations
- Research and Data Analysis
- Claims Processing Documentation
- Claims Management
Timeline
Claims Adjudicator
Evolent Health
01.2018 - 02.2024
Provider Customer Service Representative
Evolent Health
11.2017 - 11.2018
Lawn Care Technician
Black Diamond Pest Control
03.2016 - 10.2017
Customer Service Manager
Rural King
10.2015 - 12.2015
Sales Associate Specialist
Rural King
01.2015 - 10.2015
Some College (No Degree) - Journalism
Indiana University Southeast
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