Summary
Overview
Work History
Education
Skills
Timeline
Generic

Caydi Catman

Louisville,KY

Summary

An organized and dependable candidate successful at managing multiple priorities with a positive attitude looking for a challenging position where I can showcase my skills and contribute to the growth of an organization.

Overview

7
7
years of professional experience

Work History

Grievance and Appeals Rep 3

Humana
12.2022 - Current
  • Research Cases Prepared detailed reports summarizing appeal outcomes for management review, enabling data-driven decision-making processes within the department
  • Manage client medical denials by conducting analytic review of documentation to determine the decision of a case
  • Prioritizing requests and interpreting and adapting to new procedures, processes, and techniques
  • Highly experienced in CAS
  • Process and finalize appeals and grievances with agreed-upon turnaround time.

Underwriting

Amerisave Mortgage
06.2022 - 10.2022
  • Gather documents from third parties such as bank statements and insurance documents
  • Review bank statements, 401k statements, stock, and investment statements Communicate with LO’s, processors, and underwriters to insure we have everything we need for a loan to close
  • Analyze income, assets, and liabilities.

Disclosure Desk

Amerisave Mortgage
07.2020 - 06.2022
  • Send out CD’s
  • Make changes to a loan
  • Fast paced
  • Disclose multiple loans a day
  • Make sure everything meets compliance guidelines.

Customer Service

Amerisave Mortgage
10.2019 - 07.2020
  • Gather information from customers
  • Help customers refinance, purchase, and cash out
  • Speak with multiple people a day making inbound and outbound calls.

Data Entry/Benefit Specialist

Pharmacord
06.2019 - 10.2019
  • Providing medication for patients that are no longer able to afford medication they are prescribed
  • Taking inbound and outbound calls File and organize paperwork used to enter data into programs to keep a record of original documents
  • Enter personal customer information into database as collected upon forms and spreadsheets.

Benefit Specialist

RX Crossroads
12.2018 - 06.2019
  • Completing the patients BI Viewing and verifying patients drug coverage Ability to interact with members
  • Upon reviewing of procedure codes from the provider, obtain prior authorization and communicates with all parties involved regarding benefit eligibility
  • Send out medications to members

Assistant Manager

Diversified Consultants INC.
06.2017 - 12.2018
  • Able to multitask while speaking with customers and updating accounts accordingly
  • Leadership and excellent people skills Ability to manage other people while taking on my own day to day task as well
  • Ability to hit a quota each month
  • Maintain a positive, energetic, and motivated demeanor.

Education

Fern Creek High School
Louisville, KY
01.2017

Skills

  • Goal oriented
  • Excellent work ethic
  • Trainer
  • Efficient in Excel, PowerPoint, and Word
  • Multi-tasking
  • Analytical thinking
  • Case Management
  • Medical Terminology Familiarity
  • HIPPA Compliance Knowledge
  • Outstanding problem-solving Abilities

Timeline

Grievance and Appeals Rep 3

Humana
12.2022 - Current

Underwriting

Amerisave Mortgage
06.2022 - 10.2022

Disclosure Desk

Amerisave Mortgage
07.2020 - 06.2022

Customer Service

Amerisave Mortgage
10.2019 - 07.2020

Data Entry/Benefit Specialist

Pharmacord
06.2019 - 10.2019

Benefit Specialist

RX Crossroads
12.2018 - 06.2019

Assistant Manager

Diversified Consultants INC.
06.2017 - 12.2018

Fern Creek High School
Caydi Catman