Summary
Overview
Work History
Education
Skills
Timeline
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BECKY JEWELL

Summary

Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.

Overview

29
29
years of professional experience

Work History

PT-Home Health Care

MAS Londonderry, NH
04.2025 - Current


  • Proven ability to learn quickly and adapt to new situations.
  • Provided compassionate personal care, including assistance with daily living activities and mobility support.
  • Developed and maintained positive relationships with clients to enhance trust and comfort in caregiving.
  • Monitored client health conditions, promptly reporting changes to healthcare professionals for timely intervention.

FT-Customer Service Agent

MAP Communications, Inc
07.2021 - 05.2022
  • Forwarded a high volume of calls and forwarded to the appropriate contact, primarily based on provider and customer needs.
  • Transferred urgent messages for an inbound and outbound call center. Forwarded dispatcher awareness calls to appropriate areas.
  • Supported and received calls from commercial companies such as; manufacturing companies, utility companies, and religious organizations, etc. Included were local or out of state calls during office hours and after hours.
  • Prepared call logs and call reports for supervisor review.
  • Contingent employment possible in August for enrollment season dependent upon personal availability
  • Resolved customer inquiries efficiently, enhancing satisfaction and loyalty.
  • Utilized CRM software to track interactions and manage customer accounts effectively.

PT-Food Preparation Worker

Chick-Fil-A
05.2021 - 07.2021
  • Achieved high standards of cleaning and sanitation, observing health department regulations.
  • Quickly acted and prepared fresh ingredients for daily demands following exact recipes and guidelines.
  • Maintained fresh and appealing displays with clean and well-stocked product cases.
  • Letter of Recommendation Received

FT-Customer Service, Claims Examiner, Account Rep.

Aetna Life Insurance Co.
10.2003 - 08.2019
  • During my tenure at 'Aetna' some experience included (not limited to); processed a high volume of enrollment applications, customer service inquiries, insurance claims, appeals, inbound and outbound calls daily, collections, etc.
  • Creatively worked for two years under executive direction as an Account Representative for several Universities. Facilitated meetings as needed and sent invitations for gathering meetings.
  • Administered and balanced spreadsheets in this role for Universities. Some included the following; University of Michigan, University of Buffalo, University of VA, and Erika Travel.
  • Helped consumers find funds to meet payment obligations by offering knowledgeable consultations. Proficiently
  • Processed the following; premiums, approved credits, applied enrollment waivers and signed off on brochures for the year.
  • Adjusted claims and resolved ambiguities involving discrepancies. High scores weighed overall year end reviews, while maintaining a majority at 100% accuracy on monthly tasks.
  • Assisted managers with improving collections and service procedures for student and provider accounts. Pursued and collected open balances from customers and providers.
  • Navigated multiple computer systems and utilized search tools to find information. Attended regularly scheduled video conferences for team meetings and one-on-one coaching.
  • Kept records of customer interactions or transactions, recording details of inquiries and actions taken.
  • Contacted customers on claims resolution. Intervened management only when needed on claim investigation results or adjustments.
  • Empowered high level skills and work ethics when following up on department employees irate callers. While encompassing troubleshooting issues mostly maintained positive and few negative outcomes. Concluded in most cases, a much calmer demeanor on all parties impacted.

FT-Medical Claims Examiner

Oxford Health Plans
08.1996 - 09.2003
  • High payment claims examined and processed using claim forms; 1500, UB04 and viewed documents for accuracy plus completeness.
  • Adjusted provider, member claims. Included; OV, OP, IP, ANES, PT, VISION, GYM, RX, etc.
  • Accurately examined claims with a firm knowledge of 3rd party Medicare primary vs. Medicaid secondary payor. COB, DX, ICD-9, ICD-10 coding and CPT coding.
  • Identified allowed amounts vs. billed amounts payable for review of claims adjudication.
  • Applied knowledge of insurance rate standards to calculate premiums, adjustments and new reserve requirements.
  • Controlled losses with accurate determination of coverage limitations and liabilities.
  • Provided account information, claims procedure guidance and additional resources to support policyholders throughout the claims process.
  • Examined claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
  • Framed investigations based on coverage limitations outlined in claims forms and policy documentation.

Education

Diploma - Business

Chelmsford High School
Chelmsford, MA

Sales and Marketing

Southern New Hampshire University
Hooksett, NH

Skills

  • AP & AR Commercial and Medical
  • Technical troubleshooting
  • Account updating
  • Escalation Management
  • Software Applications
  • Customer Service Experience
  • Policies And Procedures
  • Teamwork and collaboration
  • Friendly, positive attitude

Timeline

PT-Home Health Care

MAS Londonderry, NH
04.2025 - Current

FT-Customer Service Agent

MAP Communications, Inc
07.2021 - 05.2022

PT-Food Preparation Worker

Chick-Fil-A
05.2021 - 07.2021

FT-Customer Service, Claims Examiner, Account Rep.

Aetna Life Insurance Co.
10.2003 - 08.2019

FT-Medical Claims Examiner

Oxford Health Plans
08.1996 - 09.2003

Diploma - Business

Chelmsford High School

Sales and Marketing

Southern New Hampshire University

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BECKY JEWELL