Cassandra Perrault
International Falls,USA
Summary
I am an in home daycare provider, with experience building and growing a strong business since 2017. At this point, i'm a seasoned expert at safely juggling daily activities, 12 children, meal preps, outings and diaper trains. I love what i do as a daycare provider, but my children are bigger now and in school. So it's time to find something more mentally stimulating. I loved processing claims for UHG. Id like to get back into a similar position. I'm looking to make at least $18 an hour based on my previous work history, skillset and most of all, my work ethic. I'm a quick learner, i'm motivated and I have great organizational skills. Looking for full-time employment.
Overview
15
15
years of professional experience
Work History
Owner/Operator
Happily Ever Laughter daycare
INTERNATIONAL FALLS, MN
06.2017 - Current
- Adapted to changing business conditions from just starting out to working through a global pandemic
- Boosted revenue with innovative, results-driven sales strategies and solid industry partnerships
- Always advertising and helping families discover koochiching county financial aid programs
- Parent Aware 1 star rating from 2017-2020
- Developed strong organizational and communication skills
- Currently hold a C3 Daycare License in Minnesota
- Responsible for up to 14 children at once with a helper or up to 12 children on my own
- CPR and first aid certified since 2017
- 12+ hours of required training per year since 2017
- CARS training (allows me to drive with daycare children in my private vehicle.)
- Resolved any issues promptly and professionally in order to maintain a positive and strong relationship with my families.
Claims Adjuster
UnitedHealth Group
INTERNATIONAL FALLS, USA
11.2014 - 08.2017
- I worked for 1 year, and then in 2011 I transferred to a telecommute position out of Eden Prairie, MN
- Exercised proper judgment and decision making to analyze claims exposure, determine proper action and appropriately settle claims
- Processed claims consistent with client and corporate policies, procedures and best practices while upholding compliance with statutory, regulatory and ethical requirements
- Guided clients through claims procedures and resolved minor complaints during claims-handling process
- Interacted extensively with various parties involved in claim process
- Supported business objectives by participating in quality control tasks, audits, risk assessments and field reviews
- Performed data entry functions, including claim file updates and forms
- Verified information listed on forms against other sources and by inquiring directly with claimants
- Made accurate determinations based on information obtained from claimants and medical professionals
- Documented claims in full, entering payments, reserves and new information
- Handled questionable claims by escalating to investigators and claims adjusters
Direct Support Professional
REM North Star
INTERNATIONAL FALLS, USA
10.2010 - 10.2014
- I worked with REM in 4 houses with 4 individuals in each house, totaling 16 clients
- I knew each of them by name and personally
- I knew each client's family and most all of the clients likes and dislikes
- Assisted with daily client needs such as transportation, bathing, and meal preparation
- Provided encouragement, coaching, and emotional support to help clients achieve established goals
- Guided clients in administering proper dose and timing of medications
- Worked cooperatively with client families, co-workers and supervisors to support client
- Wrote reports detailing support and service provided throughout each shift
- Delivered active treatment services as outlined in personal care plans
- Supported client social desires, learning needs and environmental requirements to enable full healthcare compliance
- Cleaned home, completed laundry and helped with daily routine housekeeping tasks
- Coordinated recreational activities and medical appointments for assigned clients
- Observed regulations to protect client safety and promote wellness
- Assisted clients in learning and developed new skills
- Followed approved behavior plans and intervention strategies to support client progress towards goals
- Helped client to care for and maintain personal belongings, keeping secure and under client's control
- Helped clients to gain independence and quality of life through company services
- Participated in training, staff meetings and other professional development activities
- Treated clients with kindness, dignity and respect at all times
- Kept constantly refreshed knowledge of routine and emergency medical procedures
Claims Representative
UnitedHealth Group
INTERNATIONAL FALLS, USA
10.2009 - 10.2010
- Examined policy coverage forms and other records to determine insurance coverage
- Adhered to claims processing policies and procedures, grievance procedures, state mandates and benefit plan documents to address claims
- Investigated claims of varying complexity and obtained relevant facts to determine coverage and liability
- Documented claim file activities
- Demonstrated commitment to company conduct, ethics and compliance policies and procedures and adhered to state and federal regulations
- Communicated with policyholders to acquire missing information for claims processing
- Collected additional information from insured parties by telephone, email and letter
- Processed new claims, verifying data and documentation prior to submitting for approval or review
- Prepared current and accurate documents, transcribing and entering data for tracking
- Reviewed insurance applications and verified data to determine coverage eligibility
- Organized detailed office and warehouse records using computers to enter, access and retrieve data
- Updated databases with new information from newly filed and open insurance claims
- Updated policies with changes in beneficiary names, coverage amounts and insurance types
- Calculated claims amounts and submitted paperwork for payment or review
- Managed efficient processing and documentation of new insurance policies and customer claims
- Helped with processing by preparing accurate insurance claims forms and related documentation
Education
Diploma -
Falls High School
06.2006
Bachelor of Science -
Colorado Technical Institution
Skills
- Driver's License in MN
- CPR/First Aid certified
- Excellent written and verbal skills
- Excellent organizational skills
- Moderate typing skills
- Documentation And Reporting skills
- Social Skills Development
- Excellent communication skills
Languages
English, Native
Timeline
Owner/Operator
Happily Ever Laughter daycare
06.2017 - Current
Claims Adjuster
UnitedHealth Group
11.2014 - 08.2017
Direct Support Professional
REM North Star
10.2010 - 10.2014
Claims Representative
UnitedHealth Group
10.2009 - 10.2010
Diploma -
Falls High School
Bachelor of Science -
Colorado Technical Institution