Verified patient insurance coverage and benefits before treatment appointments.
Communicated with insurance companies to resolve claim disputes and inquiries.
Maintained organized records of patient files and insurance documentation.
Collaborated with carriers to resolve discrepancies in insurance payments.
Personal Injury Case Manager
Ribley Family Chiropractic
Woodstock , GA
08.2022 - 01.2024
Manage all personal injury clientele by assisting with the coordination of care and serving as a direct contact for all personal injury patients. Work with doctors and staff to create an overall efficient and seamless experience for patients.
Negotiate settlements with legal counsel or insurance companies to ensure adequate and fair compensation for doctors.
Organize and maintain accurate client files in accordance with company protocol.
Perform senior administrative duties such as filing court documents with county clerks office. Maintain patient's electronic patient charts to ensure the accuracy of doctor's notes and ICD-9 codes.
Account Executive/Regional Director of Sales and Operations
Southern Protective Group
Woodstock, GA
03.2012 - 09.2018
Review and evaluate commercial lines accounts for completeness and eligibility
Provide exceptional service by addressing the needs of clients efficiently, effectively and compassionately
Work closely with assigned agents to maintain and develop a profitable book of business within assigned territory to achieve business unit and company objectives
Generate new commercial lines opportunities within a given territory or profit margin
Develop and implement agency action plans to meet financial and strategic goals
Responsible for marketing and communicating company products and services
Responsible for product development of specific lines of business to assure growth and profitability
Effectively manage account management team and act as the liaison between employees and CEO
Account Manager/Large & Middle Market Accounts
Insurance Office of America
Atlanta, GA
02.2007 - 03.2012
Provide exceptional service in a high-volume account management position with accountability for the day-to-day servicing of large commercial accounts
Strengthen client relationships by providing key decision makers with effective professional correspondence demonstrating knowledge of the product
Evaluate risk analysis of client business to determine coverage applicable
Handle calls from clients, insurance carriers and staff regarding administrative requests and coverage questions
Key-user of various internal systems which include the responsibility of performing one-on-one training with peers
Review client policies and programs for errors and gaps in coverage
Prepares and presents accurate quotes, proposals, and recommends coverage based on the client’s needs
Balance Account Receivable and Accounts Payable report
Education
Some College (No Degree) - Business Administration And Management
University of North Texas
Denton, TX
Skills
Customer Service
Policy Administration
Business Development
Teamwork and Collaboration
Managing Operations and Efficiency
Problem Resolution
Certification
Georgia Property & Casualty and Life & Health License
Timeline
Insurance Specialist
Ribley Family Chiropractic
01.2024 - Current
Personal Injury Case Manager
Ribley Family Chiropractic
08.2022 - 01.2024
Account Executive/Regional Director of Sales and Operations
Southern Protective Group
03.2012 - 09.2018
Account Manager/Large & Middle Market Accounts
Insurance Office of America
02.2007 - 03.2012
Some College (No Degree) - Business Administration And Management