Summary
Overview
Work History
Education
Skills
Work Availability
Timeline
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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

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Work Availability

monday
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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

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Khadijah Carr