Amy Nulle
Medical Claims Professional
Woodstock,IL
Summary
Ready and able to leverage my vulnerable skills and experiences in a dynamic and collaborative work environment ,getting back into Insurance and client service industries. Currently I am a dedicated stay at home Mom with the proven track record of managing a busy household and nurturing my family’s well-being. Skilled at multitasking ,time management and fostering a positive and organized home environment. I am proficient in budget management, meal planning and maintaining household. I have strong communication and problem-solving abilities. Passionate about providing unwavering support and care, facilitating growth and development at every opportunity. It is now time for me to seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
20
20
years of professional experience
Work History
Family Manager
Nulle Family
Woodstock, IL
07.2015 - Current
- Budgeting, managing expenses, paying bills, and ensuring the family's financial well-being
- Household Organization: Keeping the home well-maintained, organized, and running smoothly
- This can include tasks like cleaning, meal planning, and grocery shopping
- Scheduling: Managing family schedules, including coordinating appointments, extracurricular activities, and family events
- Childcare: Overseeing the care and well-being of children, which can include ensuring they are safe, providing for their educational needs, and arranging childcare when necessary
- Healthcare Coordination: Scheduling and managing healthcare appointments for family members and ensuring that everyone's health needs are addressed
- Education and Development: Supporting children's educational needs, helping with homework, and fostering their overall development
- Communication: Acting as a liaison between family members, helping to maintain healthy communication and resolve conflicts
- Event Planning: Organizing family celebrations, parties, and gatherings
- Travel Planning: Coordinating family vacations and trips, including travel arrangements, accommodations, and itineraries
- Emergency Preparedness: Make sure the family is prepared for emergencies and has plans in place for various contingencies.
- Taught children basic life skills, manners and personal hygiene.
Customer Care Representative
Snap On Tools
Crystal Lake, IL
09.2007 - 07.2015
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Logged call information and solutions provided into internal database.
- Responded to customer needs through competent customer service and prompt problem-solving.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Resolved concerns with products or services to help with retention and drive sales.
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
- Investigated and resolved customer inquiries and complaints quickly.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Medical Claims Examiner
Tokio Marine America
Woodstock, IL
06.2003 - 08.2007
- Managed large volume of medical claims on daily basis.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Paid or denied medical claims based upon established claims processing criteria.
- Monitored and updated claims status in claims processing system.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Directed claims negotiations within allowable limit of $15,000 and supported successful litigations for advanced issues.
- Documented information gathered in field and uploaded data to company database for efficient processing using EMR and AS400.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Examined claims forms and other records to determine insurance coverage. Review proper CPT and ICD 9 coding.
Education
Medical Assistance program Medical Terminology - undefined
Herzing University
Skills
Home school programs familiarity
Schedule creation and maintenance
First Aid/CPR
Self-Motivated
Dependable and Responsible
Planning and Coordination
Critical Thinking
Problem-Solving
Analytical and Critical Thinking
Good Telephone Etiquette
Multitasking Abilities
Flexible and Adaptable
Data Entry
Attention to Detail
Analysis Aptitude
Timeline
Family Manager
Nulle Family
07.2015 - Current
Customer Care Representative
Snap On Tools
09.2007 - 07.2015
Medical Claims Examiner
Tokio Marine America
06.2003 - 08.2007
Medical Assistance program Medical Terminology - undefined
Herzing University