Brenda Luma

• Respond To Chat Sessions
• Email Claimants With Claim Status Or Any Issues That Need To Be Addressed
• Due Callbacks To File Claims
• Work On Adjudication Claims
• Processed a high volume of claims efficiently while maintaining quality standards.
• Provided clear explanations of benefits, eligibility requirements, and applicable laws And State Guidelines when communicating with customers.
• Ensured timely submission of required documentation from claimants prior to approval of payment.
• Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
• Identified potential fraud indicators during the review process and reported suspicious activity accordingly.
• Handled customer inquiries regarding coverage details and payment status updates.
• Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
• Educated customers on their rights under state and federal regulations governing Claim policies.
• Review documentation For verification of identity.
• Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
• Verified details with policyholders and requested additional information.

Train new hires

Overlooked and monitored agents with their calls

Handled situations that may occur.

Monitoring and Evaluations on the calls

Filed homeowner claims With Big Fortune 500 Company

Checked status of claims, worked with multiple Adjusters for a huge Insurance Firm.

Worked with PA EBT Government-issued cards for 12 different states, issuing new cards, deposits, balances, transactions, disputes, and timesheets.

Supervisor Of Several Home Health Aides

Scheduling Payroll, Financial Billing, Appointments

*Everyday Activities For My Client. Medication, Therapy, Bathing. Cleaning, Cooking. Traveling w/Client.

*Charting *Shift Report *Monthly Med Chart Change *IV Prep & Med Change *Vitals *Everyday Activities For My Clients *Wound Care *Dressing Change *Blood Sugar Levels Insulin Administration.

Client was placed in my home and my care until she passed away .