Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Amanda Effner

West Winfield

Summary

Dynamic and detail-oriented professional with a proven track record at NYCM Insurance, excelling in claims examination. Recognized for enhancing efficiency and reducing processing time through critical thinking and effective time management. A dependable team player committed to delivering exceptional results while maintaining confidentiality and fostering collaboration.


Overview

25
25
years of professional experience
1
1
Certification

Work History

Medicare Support III

NYCM Insurance
09.2023 - Current
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Learned and adapted quickly to new technology and software applications.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Paid attention to detail while completing assignments.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Demonstrated respect, friendliness and willingness to help wherever needed.

Claims Arbitration/Litigation Support Clerk III

NYCM Insurance
08.2000 - 09.2023
  • Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
  • Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
  • Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
  • Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Fluent in working with Mitchell Processing Queue to pay No Fault bills
  • Consulted police and hospital records when needed.
  • Improved overall efficiency within the department by streamlining processes and eliminating redundancies where possible.

Education

High School Diploma -

Mount Markham Central School
West Winfield, NY
01-2000

Certification of Office Technology -

Herkimer BOCES
Herkimer, NY

Skills

  • Friendly, positive attitude
  • Teamwork and collaboration
  • Customer service
  • Problem-solving
  • Time management
  • Attention to detail
  • Dependable and responsible
  • Multitasking Abilities
  • Critical thinking
  • PACE
  • AS400
  • Microsoft Word
  • Excel
  • Mitchell
  • Actuate
  • Computer skills
  • Organizational skills
  • Organization and time management
  • Decision-making

Certification

  • Insurance Fraud, NYCM
  • Negotiation Skills, NYCM
  • Excel I, NYCM
  • Personal Auto Coverages, NYCM
  • Claims Basics, NYCM

Timeline

Medicare Support III

NYCM Insurance
09.2023 - Current

Claims Arbitration/Litigation Support Clerk III

NYCM Insurance
08.2000 - 09.2023

High School Diploma -

Mount Markham Central School

Certification of Office Technology -

Herkimer BOCES

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