Khadijah Carr
Houston,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Self-motivated to continuously learn, grow and excel.
Overview
3
3
years of professional experience
Work History
Disability Claims Representative
Sedgwick CMS
Southfield, MI
03.2021 - 09.2021
- Managed 75 claims, made determinations to approve disability claims or make recommendations to team lead to deny claims based on medical provided.
- Determined benefits due, make timely claim payments and adjustments for workers compensation, Social Security Disability Income (SSDI), etc.
- Supported other claims examiners and claims supervisors with larger or more complex claims as assigned.
- Participated in rotational assignments to provide temporary support for office needs.
Customer Service Representative II
Blue Care Network Of Michigan
Southfield, MI
12.2019 - 03.2021
- Conducted internal and external research to determine and request data needed to handle inquiries from business partners.
- Fully assisted HMO/PPO members as a cross-trained representative, processing 100+ inbound calls daily.
- Guided CSR I's through irate calls, took over call if CSR could not resolve member's issue.
- During down time, trained on company's updated policies and procedures
Pre-Bill Medical Recovery Specialist
Equian
Southfield, MI
09.2018 - 09.2019
- Maintained regular communication with all potential recovery sources and continue to identify additional potential recovery sources.
- Maximized customer recoveries by appropriately including all potentially related medical claims in assertion of lien.
- Met production requirements and exceeded monthly and annual recovery goals.
Education
Bachelor Of Information Technology - Cybersecurity & Information Technology
Capella University
Minneapolis, MN 09.2021 - Current
Skills
Microsoft Office Suite
Medical Record Review
Claims Examining
Benefit Review
Organization
Medical Billing
Technical Support
Complaint resolution
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Timeline
Bachelor Of Information Technology - Cybersecurity & Information Technology
Capella University
09.2021 - Current
Disability Claims Representative
Sedgwick CMS
03.2021 - 09.2021
Customer Service Representative II
Blue Care Network Of Michigan
12.2019 - 03.2021
Pre-Bill Medical Recovery Specialist
Equian
09.2018 - 09.2019