Amy Stehle
Tomah
Summary
Dedicated team player adept at managing customer service with health insurance knowledge. Looking for a long-term position with a growth-oriented company.
Experienced in customer communications both on the phone and in person. Successful at managing tasks with minimal direction and precision. Excel in problem-solving, adaptability, and teamwork, leveraging soft skills to navigate complex situations and achieve positive outcomes.
Overview
32
32
years of professional experience
Work History
Claims Representative lll / Health and Dental / Senior Claims
Anthem Blue Cross Blue Shield
Work From Home
02.2007 - 04.2025
- Level III Processor of Medicare Advantage Claims
- Adjust claims in both production and large adjustment projects
- Key all claim types
- Research and resolve claim issues
- Utilize multiple software and mainframe applications as well as desktop sharing
- Use multiple fee schedules, pricers, and Smart Page site information
- Assist co-workers as needed by answering questions either through email, phone, or desktop sharing
- Analyzed complex claims issues to determine appropriate course of action.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
- Perform duties independently and as part of a team, when needed
- Computer proficient in Windows, Microsoft Office and mainframe applications
- Assisted in creating and reviewing Home Health and Skilled Nursing desk levels
- Processed claims efficiently to ensure timely resolution for members.
Cashier
Piggly Wiggly Grocery Store
Oshkosh
05.2021 - 05.2022
- Processed customer transactions efficiently at Piggly Wiggly Grocery Store.
- Managed cash register and ensured accurate cash handling procedures.
- Assisted customers with product inquiries and provided exceptional service.
Owner / Violin Instructor / Suzuki Method
Amy's Violin Lessons
Fond du Lac
01.2002 - 01.2014
- Developed lesson plans and adjusted based on individual learning curves
- Taught Violin using the Suzuki Method
- Coached students toward mastery
- Planned and coordinated events for students to perform and showcase their talent
Clerk
Kelly Services
Fond du Lac
01.2006 - 01.2007
- Assisted processors with faxing, copying, printing
- Created letters for correspondence with health care providers and members
- Took part in training associates in Ohio during migration
Clerk
Gallery & Frame Shop
Fond du Lac
05.1993 - 05.1998
- Prepared mailings informing cutomers of art shows
- Answered phones in a courteous manner while providing excellent customer service.
- Stretched customer stitcheries for framing
- Handled customer transactions when picking up orders
Education
BS -
Marian College
Teacher Training Courses for Suzuki Violin
UW Stevens Point
Courses Towards Master Degree
University of Arizona
Skills
- Customer relationship management
- Time management
- Data entry accuracy
- Team collaboration
- Problem solving
- Attention to detail
- Effective communication
- Event coordination
- Database management
- Microsoft office
- Background in insurance
- Teamwork
- Reliability
- Issue resolution
Community Service
- Fond du Lac Chamber Orchestra
- Community Service Volunteer Opportunities - Anthem BCBS
Timeline
Cashier
Piggly Wiggly Grocery Store
05.2021 - 05.2022
Claims Representative lll / Health and Dental / Senior Claims
Anthem Blue Cross Blue Shield
02.2007 - 04.2025
Clerk
Kelly Services
01.2006 - 01.2007
Owner / Violin Instructor / Suzuki Method
Amy's Violin Lessons
01.2002 - 01.2014
Clerk
Gallery & Frame Shop
05.1993 - 05.1998
BS -
Marian College
Teacher Training Courses for Suzuki Violin
UW Stevens Point
Courses Towards Master Degree
University of Arizona