Empathetic Disability Claims Representative, known for maintaining high productivity and efficiently completing tasks. Skilled in case management, policy interpretation, and regulatory compliance, ensuring accurate and timely processing of claims. Excel in communication, negotiation, and problem-solving, facilitating smooth interactions with stakeholders and driving resolutions that benefit all parties involved.
Overview
13
13
years of professional experience
2014
2014
years of post-secondary education
Work History
Disability Claims Representative
Sedgwick
Southfield
10.2021 - Current
Evaluated disability claims for accuracy and compliance with company policies.
Communicated with claimants to gather necessary documentation and information.
Reviewed medical records to determine eligibility for benefits under guidelines
Reviewing medical notes to confirm Surgery codes and diagnosis codes (CPT/ ICD-10)
Clinical Service Representative
Henry Ford Cancer Center
Detroit
10.2020 - 10.2021
Managed patient scheduling for consultations and treatments at cancer center.
Coordinated communication between patients and healthcare providers effectively.
Assisted in processing insurance claims and verifying patient coverage.
Maintained accurate patient records in electronic health systems securely.
Addressed patient inquiries and resolved concerns promptly and professionally.
Collaborated with medical staff to streamline clinic operations efficiently.
Maintained confidentiality of all patient information according to HIPAA regulations.
Bank Teller
Michigan First Credit Union
Southfield
03.2017 - 10.2020
Processed customer transactions accurately and efficiently at Michigan First Credit Union.
Assisted members with account inquiries and provided exceptional customer service.
Balanced cash drawers daily to ensure accuracy and compliance with policies.
Handled deposits, withdrawals, and loan payments following established protocols.
Handled large sums of money with accuracy while maintaining appropriate levels of security.
Provided exceptional customer service to customers by answering inquiries, resolving complaints and processing transactions in a timely manner.
Processed customer deposits and withdrawals accurately, balancing cash drawer daily.
Cashed customer checks, verified identification and checked account balances in accordance with bank policy.
Front End Supervisor
Bed Bath & Beyond
Farmington Hills
09.2013 - 03.2017
Supervised daily operations and staff performance in retail environment.
Trained new team members on customer service standards and product knowledge.
Managed inventory levels and organized merchandise displays for optimal presentation.