ARETHA PARKER
Hampton,VA
Summary
Orderly and committed Administrative Assistant offering solid skills in customer relations and resilience to handle challenges of fast-paced environments. Bringing detail-oriented and decisive nature with sound judgment, good multitasking abilities and self-motivated nature. Comfortable working alone or with teams to accomplish on-time and accurate clerical tasks.
Overview
29
29
years of professional experience
Work History
Administrative Associate
Sentara Healthcare
Norfolk, VA
08.2023 - Current
- Provided clerical support such as answering phones, responding to emails, filing documents, copying and scanning materials.
- Created weekly reports summarizing departmental activities and accomplishments.
- Compiled data from multiple sources into a spreadsheet or database format for analysis purposes.
- Greeted visitors upon arrival at the office and directed them appropriately according to their needs.
- Maintained confidentiality regarding all business matters related to the organization's operations.
- Answered customer inquiries via email or telephone in a timely manner while providing excellent customer service.
- Executed administrative tasks assigned by higher management in a precise manner following established protocols.
- Created spreadsheets in Microsoft Excel for record-keeping and reporting.
- Kept office equipment functional and supplies well-stocked to promote efficient operations.
Claims Auditor Specialist
Alorica
Newport News, VA
10.1995 - 08.2023
- Reviewed and audited claims to identify errors or discrepancies in the documentation.
- Analyzed and validated claim data for accuracy, completeness, and compliance with applicable regulations.
- Investigated questionable claims to determine validity of payment requests.
- Identified trends in fraudulent or incorrect claims payments through analysis of audit results.
- Developed training materials for staff related to proper handling of claims processing activities.
- Documented audit results in accordance with established protocols and guidelines.
- Conducted interviews with personnel involved in claims processing activities as part of the audit process.
- Participated in special projects as needed relating to development of new policies or procedures.
- Remained professional at all times, especially when speaking to customers or responding to messages to represent company's high level of service.
- Analyzed claims processing errors, gleaning information to determine origin of issues and initiated corrective action.
- Assessed insurance claims and reviewed eligibility information for members to determine if payments had been properly made.
- Paid and processed claims within designated authority level.
- Obtained necessary information to complete proper evaluation of injury claims.
Education
High School Diploma -
Oceanside High School
Oceanside, CA06.1989
Certified Nursing Assistant
Mira Costa Community Collage
Vista, CA09.1989
Skills
- Overpayment Identifications
- Experienced in Microsoft, Excel
- Exemplary Communication Skills
- Effective Customer Communication
- Data Verification
- Claim Form Analysis
- Critical Thinking
- Claims Evaluation
- Active Listening
- Coverage Assessment
- Claims Processing
- Verbal and Written Communication
- Benefit Explanation
- Data Entry
- Clerical Support
- Spreadsheet Development
- Customer Service
Timeline
Administrative Associate
Sentara Healthcare
08.2023 - Current
Claims Auditor Specialist
Alorica
10.1995 - 08.2023
High School Diploma -
Oceanside High School
Certified Nursing Assistant
Mira Costa Community Collage