Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ashley Mcdaniel

ash.renee.59@gmail.com

Summary

Experienced with evaluating claims for accuracy and compliance. Utilizes strong organizational skills and attention to detail to process claims efficiently. Track record of effectively communicating with clients and stakeholders to resolve claims disputes.

Overview

15
15
years of professional experience

Work History

Claims Representative II

Humana
10.2015 - Current
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Maintained up-to-date knowledge of regulatory changes, ensuring company compliance and minimizing legal risks.
  • Analyzed claim trends to anticipate potential issues and proactively adjust processing strategies.
  • Experience with CRM, CIS/CISPRO, Mentor.
  • Knowledge with CPT/ ICD9 Terminology and codes.
  • Medicare and Medicaid experience.
  • Ability to adapt to Change.
  • Basic Microsoft word, Excel, PowerPoint and Outlook Skills.

Inbound Call Center Representative

Optum Health
09.2013 - 10.2015
  • Reduced call wait times by efficiently managing call queues and prioritizing urgent requests.
  • Answered phone with friendly greeting to create positive inbound calling experience for customers.
  • Handled high volume of inbound calls per shift to offer callers product and service information and generate quotes.
  • Improved first-call resolution rates by effectively utilizing resources and available tools.

Bank Teller/Switcher

PNC Bank
04.2010 - 07.2013
  • Managed high-volume transactions during peak hours while maintaining attention to detail, ensuring seamless customer experience.
  • Balanced cash drawers accurately at the end of each shift, minimizing discrepancies in financial records.
  • Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates.
  • Established trust with clients by maintaining confidentiality and protecting sensitive financial information.
  • Assist with opening accounts and loans.

Education

Associate of Science - Human Services

JCTC
Louisville, KY
05-2020

Skills

  • Experience with CRM, CIS/CISPRO, Mentor
  • Knowledge with CPT/ ICD9 Terminology and codes
  • Medicare and Medicaid experience
  • Ability to adapt to Change
  • Basic Microsoft word, Excel, PowerPoint and Outlook Skills

Timeline

Claims Representative II

Humana
10.2015 - Current

Inbound Call Center Representative

Optum Health
09.2013 - 10.2015

Bank Teller/Switcher

PNC Bank
04.2010 - 07.2013

Associate of Science - Human Services

JCTC

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