Ashley Paradis
Eden,NC
Summary
Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Seasoned insurance specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.
Overview
4
4
years of professional experience
Work History
Claims Service Specialist/E100
Allstate Insurance Co
Eden, NC
08.2021 - Current
- Reviewed and processed incoming claim documents for accuracy and completeness.
- Resolved customer complaints promptly and professionally.
- Adhered to state regulations regarding insurance coverage requirements when processing claims.
- Initiated contact with customers to gather additional information or documentation needed to process claims.
- Collaborated with external vendors to obtain necessary information for successful claim resolution.
- Researched, gathered and analyzed data from multiple sources to identify discrepancies in claims.
- Provided guidance and support to customers on the status of their claims.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
Receptionist
Walkertown Veterinary Hospital
Walkertown, NC
01.2021 - 08.2021
- Maintained a neat reception area by organizing materials and tidying up furniture.
- Assisted in maintaining office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; verifying receipt of supplies.
- Processed customer payments using cash registers or point-of-sale terminals according to company policies and procedures.
- Greeted visitors and provided them with assistance.
- Ensured that all necessary forms were completed accurately prior to submitting them for processing.
- Scheduled appointments for clients, customers, and other visitors.
- Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
- Provided excellent customer service at all times while interacting with both internal and external customers.
- Maintained an organized filing system of confidential client information in accordance with company policy.
- Served visitors by greeting, welcoming and directing to appropriate personnel.
Education
Associate in Medical Billing And Coding - Medical Billing And Coding
Institute of Business And Medical Careers
Cheyenne, WY08-2012
Skills
- Microsoft Office
- Confidentiality
- Claims Investigation
- Teamwork and Collaboration
- Customer Service
- Team building
- Time management abilities
- Organizational Skills
- Continuous Improvement
- Problem-solving abilities
- Customer Communication and Empathy
- Reflective listening
- Analytical and Critical Thinking
Custom
● Extensive amount of proficient claims handling
● Inbound/Outbound experience within different orgs
● Manage own workload and special projects consistently
● Quality calibrations
● Top performance quarter over quarter in every KPI and OSP
● Engagement team representative
● Collaboration across workstreams and other areas of company
● RCPS Champion
● Proficient with internal tools that include LAT and QMT.
● Reviewed calls for Quality Standards
References
References available upon request.
Timeline
Claims Service Specialist/E100
Allstate Insurance Co
08.2021 - Current
Receptionist
Walkertown Veterinary Hospital
01.2021 - 08.2021
Associate in Medical Billing And Coding - Medical Billing And Coding
Institute of Business And Medical Careers