Araya Fogle
Mesquite,TX
Summary
Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. As well as an organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
3
3
years of professional experience
Work History
Claims Representative
Sedgwick
Remote
10.2023 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Managed the administration of short-term and long-term disability benefits, coordinating with insurance providers to ensure timely processing of claims.
- Assisted HR department in developing comprehensive leave policies that met the needs of both employees and the organization.
- Served as a point of contact for employees seeking information about their leave options, providing knowledgeable assistance in navigating complex situations.
Customer Service Representative
Kelly Connect Services
Remote
08.2022 - 05.2023
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain customer records.
- Responded to customer requests for products, services, and company information.
Medical Claims Processor
United Healthcare Group
Remote
08.2021 - 02.2023
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Managed large volume of medical claims on daily basis.
Education
Lakeview Centennial High School
Garland, TX05.2019
Skills
- Efficient Data Entry
- Claims Specialist
- Medical History Documentation
- Ability To Handle Personal & Confidential Patient Information
- Medical Filing
- Appointment Confirmation
- Paperwork Processing
- Written Communication
- Proficiency With Microsoft Office
- Clerical Support
- Documentation
Timeline
Claims Representative
Sedgwick
10.2023 - Current
Customer Service Representative
Kelly Connect Services
08.2022 - 05.2023
Medical Claims Processor
United Healthcare Group
08.2021 - 02.2023
Lakeview Centennial High School