Anedra Thompson
Antioch,TN
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure a claims auditor position. Ready to help team achieve company goals.
Overview
17
17
years of professional experience
Work History
Bartender
Cheekwood Botanical Garden
09.2015 - Current
- Served high customer volumes during special events, nights and weekends.
- Trained 12 new bartenders on drink preparation, product promotion, garnish preparation and sanitation protocol.
- Followed alcohol awareness procedures for preventing excessive guest intoxication.
- Performed opening and closing duties, setting up for incoming shift, preparing cash drawers and taking inventory.
- Adhered to state laws regarding alcoholic beverage services and customer regulations.
Claims Auditor II
YesCare
Brentwood, TN
04.2009 - 07.2022
- Initiated cost containment by conducting thorough audits and data mining.
- Reviewed insurance claims and member eligibility to determine overpayment trends and noncompliance issues.
- Prioritized daily tasks to satisfy workload demands and department's turnaround goals.
- Provided high level of professionalism when speaking with customers or responding to emails to promote company's dedication to service.
- Researched issues related to claims processing to identify origins and implement corrective solutions.
- Maintained 98% accuracy when adjudicating/ processing claims
- Responsible for approving and/ or denying provider appeals
Education
Bachelor of Arts - Business Administration And Management
Tennessee State University
Nashville, TN2005
Skills
- Claim Form Analysis
- Microsoft Office
- Complex Problem-Solving
- Compliance Risk Management
- Data Entry Software
- Correcting Errors
- Workflow Processes
- Time Management
Timeline
Bartender
Cheekwood Botanical Garden
09.2015 - Current
Claims Auditor II
YesCare
04.2009 - 07.2022
Bachelor of Arts - Business Administration And Management
Tennessee State University