Summary
Overview
Work History
Education
Skills
Timeline
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Carol Yeomans

Atlantic City,NJ

Summary

Reliable and detail-focused claims specialist with over 2 years of experience working with medical claims, including Medicare, Medicaid, and commercial plans. Skilled in reviewing and processing claims accurately, spotting errors, and making sure everything follows state and federal rules. Proven analytical and problem-solving skills drive competitive compensation analysis. Recognized for exceeding performance goals and maintaining confidentiality while ensuring compliance and effective communication. Proficient in Microsoft Excel and committed to enhancing customer engagement.


Overview

10
10
years of professional experience

Work History

Benefits Consultant

Aon Corporation
09.2022 - 04.2025
  • Managed high-volume caseloads via phone, live chat and email while prioritizing tasks to ensure timely completion of all claims.
  • Lead open enrollment process annually for 160 employees, using effective communication to explain various benefits
  • Analyze compensation packages thoroughly for cost analysis to remain competitive
  • Apply medical necessity guidelines, determine coverage, complete eligibility verification, and identify discrepancies to assist in the claim adjudication process.
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Assisting guests with understanding their benefits, the cost and what will be provided

Application Review Coordinator

Public Consulting Group, Inc.
03.2020 - 03.2021
  • Interacting with tenants via phone and email to verify information submitted on applications
  • Ensured strict confidentiality of applicants' information and maintained accurate records
  • Consistently exceeded performance goals, managing over 50 calls per day, maintaining a high level of
    customer engagement and retention.
  • Conducted thorough quality assurance checks on completed reviews before submission for final approval from senior management or clients as required.
  • Input and maintain accurate applicant data into property management systems and databases.

Customer Service Representative

Borgata Casino & Hotel
05.2015 - 09.2019
  • Handling a high volume of calls efficiently and escalating calls to the appropriate department as needed
  • Inputting confidential information while creating room, dining and spa reservations
  • Assisting guests with any issues or concerns while in house during their stay as well as creating work orders for those issues
  • Maintaining a detailed record of daily customer interactions, ensuring proper follow-up and resolution of issues.
  • Assisting guests with technical issues and password resets

Education

Bachelor of Science - Journalism And Mass Communication

North Carolina A&T State University
05-2018

Skills

    • Interactive communication skills

    • Analytical skills

    • Quantitative skills

    • Compliance reporting

    • Task prioritization

    • Microsoft Excel proficiency

    • Problem-solving

    • Leadership skills

Timeline

Benefits Consultant

Aon Corporation
09.2022 - 04.2025

Application Review Coordinator

Public Consulting Group, Inc.
03.2020 - 03.2021

Customer Service Representative

Borgata Casino & Hotel
05.2015 - 09.2019

Bachelor of Science - Journalism And Mass Communication

North Carolina A&T State University

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Carol Yeomans