Healthcare professional prepared for patient care advocacy roles. Extensive background in resolving patient issues and coordinating care with medical teams. Focused on team collaboration and adapting to changing needs, with proven skills in effective communication and empathy.
Overview
10
10
years of professional experience
Work History
Patient Care Advocate
Cigna
02.2024 - Current
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Maintained a high degree of professionalism and empathy during difficult calls, providing emotional support to distressed patients while addressing their concerns.
Maintained accurate patient records with diligent data entry and effective communication with healthcare professionals.
Resolved problems with communication and billing to foster seamless services.
Forward delinquent or complex claims to the Senior Billing and Representative Specialist for the appropriate next steps.
Insurance Claims Specialist
Allstate
03.2022 - 02.2024
Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
Followed up with customers on unresolved issues.
Administrative Assistant
Lion Plumbing Supply Inc.
10.2015 - 03.2021
Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Ensured accurate record-keeping with diligent data entry and database management for vital company information.