Claims professional well-versed in intricacies of claim management and resolution. Known for strategic approach to resolving disputes and ensuring compliance with industry standards. Reliable team collaborator with focus on achieving optimal outcomes and adapting to changing requirements. Skilled in negotiation and critical thinking.
Warehouse professional with in-depth knowledge of inventory management and order fulfillment. Known for reliability, effective team collaboration, and adaptability in fast-paced settings. Proficient in using warehouse software and maintaining organized workspaces.
Overview
6
6
years of professional experience
Work History
Warehouse Worker
Amazon
Coppell, TX
06.2025 - 02.2026
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Operated warehouse equipment to efficiently pick and prepare orders for shipment.
Implemented best practices for order accuracy, reducing errors during the picking process.
Expedited customer orders, working closely with shipping department to ensure timely delivery.
Claims Specialist
Sagility
Remote
08.2023 - 12.2025
Developed training materials for staff members on best practices for handling different types of claims.
Advised management on potential changes needed in policies or procedures based on findings from investigations.
Collaborated with other departments within the organization to resolve issues related to claims processing.
Processed and reviewed claims for accuracy, ensuring compliance with company policies and regulations.
Collaborated with cross-functional teams to resolve discrepancies and expedite claim resolutions.
Utilized claims management software to track submissions, monitor status, and document correspondence.
Analyzed claim trends to identify potential issues, contributing to improved operational efficiency.
Provided training and support to new team members on claims processing procedures and best practices.
Health Insurance Representative
Global Call Solutions
Remote
04.2022 - 08.2023
Managed customer inquiries regarding health insurance plans, resolving issues efficiently.
Educated clients on policy options and benefits, enhancing understanding and retention.
Processed claims and applications accurately, ensuring compliance with regulations.
Collaborated with underwriting teams to evaluate risk assessments for new policies.
Collaborated with healthcare providers to ensure accurate billing practices, reducing disputes and errors.
Assisted clients in understanding their coverage options, guiding them towards the most suitable plans for their needs.
Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Contacted insurance companies to discuss and resolve unpaid claims and incorrectly paid claims.
Enhanced team productivity by providing ongoing training and support to new hires.
Maintained strict confidentiality while handling sensitive personal data complying with HIPAA regulations.
Educated clients on wellness programs offered by the company leading to increased participation in these initiatives promoting healthier lifestyles.
Healthcare Billing Specialist
Illinois Department of Human Services
Remote
02.2020 - 05.2022
Processed medical claims using advanced billing software to ensure timely reimbursement.
Analyzed patient accounts to resolve discrepancies and improve billing accuracy.
Coordinated with insurance providers to obtain authorizations and clarify claim issues.
Maintained strict adherence to HIPAA guidelines and regulations, ensuring the confidentiality and security of all patient information.
Assisted patients in understanding their insurance benefits, providing guidance on available financial assistance programs when needed.
Implemented electronic billing systems to improve efficiency, reduce errors, and expedite payment processing.
Delivered exceptional customer service by promptly responding to inquiries from both internal and external stakeholders, fostering positive relationships with all parties involved in the billing process.
Collaborated with healthcare providers to reconcile discrepancies, facilitating accurate and timely claim submission.
Developed reports highlighting key performance indicators, enabling management to make informed decisions regarding resource allocation and process improvements.