Ashley Turner
Federal Way,WA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Offering many years of experience and a willingness to take on any challenge.
Overview
19
19
years of professional experience
Work History
Claims Processor IV
Premera Blue Cross Of Washington
10.2007 - Current
- Utilize procedures, analytical and problem-solving skills, to handle all work quickly and accurately.
- Top producer in team while having excellent quality.
- Contact other carriers and providers to obtain and discuss eligibility and benefits.
- Understand benefits and eligibility rules, read court document information, and correctly apply order of liability and process claims appropriately.
- Provide specialized knowledge of complex claims processing to other departments when questions or challenges arise regarding handling of complex issues.
- Identified process improvements that carved out inventory that can now be automated.
- Identified several system issue that caused claims to incorrectly pend or recycle back. One issue identified had caused 34% increase in inventory.
- Created job aides and procedure updates after identifying areas of improvement.
- Work independently and in team setting.
- Train and audit multiple people in varying areas of work, provide feedback to team and individual processors.
- Strong working system knowledge of claims processing systems. Experience in Excel and Word documents.
- Handle Calypso and Rawlings report.
- Claims processor with WEA, Weyerhaeuser, and Nelson Trust teams.
- Claims and Data entry.
- PIMS report
- Received recognition for Teamwork.
Manager
Regal Cinemas
12.2004 - 05.2011
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Accomplished multiple tasks within established timeframes.
- Prepared sales data, and end of day reports.
- Responsible for register counting and data at close of shifts.
- Responsible for balancing all balancing all currency.
- Cross-trained existing employees to maximize team agility and performance.
- Established team priorities, maintained schedules, and monitored performance.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Cashiering and sales.
- Awarded Employee of the Month
Education
High School Diploma -
Lynnwood High School
Bothell, WA06.2007
Skills
- Teamwork and Collaboration
- Policy and Procedure Explanations
- Organizing and Prioritizing Work
- Quick learner
- Critical Thinking
- Analytical Thinking
- Accuracy and Precision
- Problem Solving
- Decision Making
- Information Verification
- Documentation Processing
- Reporting Skills
- Process Improvement
Timeline
Claims Processor IV
Premera Blue Cross Of Washington
10.2007 - Current
Manager
Regal Cinemas
12.2004 - 05.2011
High School Diploma -
Lynnwood High School