Committed and thorough Claim Representative with 20 years of experience, quick typing skills and strong work ethic. Expert at coordinating and completing projects with minimal supervision. Proven strengths in relationship building and communication.
Overview
10
10
years of professional experience
Work History
Claims & Data Entry Specialist
Aston Carter Recruiting
Atlanta, Ga
08.2021 - Current
Processed a high volume of claims efficiently while maintaining quality standards.
Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
Documented changes in claim statuses using specialized software systems.
Verified details with policyholders and requested additional information.
Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
Ensured timely submission of required documentation from claimants prior to approval of payment.
Data Entry Clerk
Dexis Dental Via Aston Carter
Duluth, GA
09.2021 - 12.2021
Inputted data into computer system to ensure accuracy and completeness of records.
Sorted source documents and organized to be filed.
Reviewed and updated account information in company computer system.
Reviewed, corrected or deleted data, verifying customer and account information.
Followed up on pending tasks until completion.
Verified accuracy and completeness of data entry into the database system.
Member Services Representative Billing & Claims
Kaiser Permanente
Duluth, Ga
10.2018 - 11.2020
Compiled and submitted claims forms, medical reports, and other supporting documents to insurance companies.
Maintained detailed records of all activities related to claims processing.
Assisted customers with inquiries about the status of their claims via telephone or email.
Analyzed claim information for accuracy prior to submission.
Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Resolved customer complaints in a professional manner while remaining empathetic to their concerns.
Insurance Billing Representative
Assurant
Duluth, Ga
08.2017 - 02.2018
Answered incoming calls and emails, providing frontline customer support
Worked hand in hand with front office staff to ensure that the proper information was received for claims processing
Reviewed homeowners escrow billing for accuracy and completeness and obtained any missing information
Resolved customer complaints in a professional manner while remaining empathetic to their concerns.
Oversaw and ran necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary
Maintained and updated all files including insurance companies, diagnosis, procedure, fees/profiles.
Technical Support Representative
Concentrix Apple Inc
Peachtree Corners, Ga
07.2014 - 08.2015
Troubleshot customer inquiries related to software and hardware issues.
Resolved escalated customer service issues in a timely manner.
Assisted customers with installation of new hardware and software applications.
Monitored emails queues and responded quickly to customer requests.
Identified customer needs and provided appropriate solutions.