Summary
Overview
Work History
Education
Skills
Accomplishments
Community Service
References
Additional Experience
Timeline
Generic

Chanese Thompson

Louisville,KY

Summary

Experienced Claims Examiner with a robust 5-year tenure in the insurance sector, showcasing a talent for meticulous review, analysis, and seamless processing of insurance claims. Possesses a comprehensive grasp of insurance policies, regulations, and intricate coverage nuances. Skilled in conducting exhaustive investigations, adeptly resolving intricate challenges, and fostering clear, impactful communication with clients, team members, and stakeholders. Demonstrates a consistent history of surpassing performance expectations while upholding unwavering accuracy and detail-oriented standards. Noteworthy qualifications include an in-depth understanding of insurance policies, regulations, and industry protocols, coupled with adeptness in data analysis, problem-solving, and a keen eye for detail. Eager to apply my expertise in claims examination within a vibrant insurance entity, bringing forth excellent communication abilities for engaging with diverse audiences, adeptness in utilizing claims processing software, and a proven ability to excel in high-paced environments through efficient task prioritization and impeccable organizational skills.

Overview

7
7
years of professional experience

Work History

Patient Care Technician

The Little Clinic
08.2023 - Current

The main goal of the Patient Care Technician (PCT) role, which is overseen by the on-duty Nurse Practitioner/Physician Assistant on a daily basis, is to enhance patient flow through the clinic while delivering an excellent patient experience. Responsible for completing all necessary administrative responsibilities, including EMR documentation, in compliance with corporate policy. Role model and show the company's fundamental values of respect, honesty, integrity, diversity, inclusiveness, and safety for others.

  • Checking patients into the clinic entails entering their insurance information into our system to check eligibility and billing any applicable copayment costs.
  • Confirming that past insurance claims were paid accurately.

Personal Care Assistant

Norton Healthcare
04.2022 - 08.2023

As a Personal Care Assistant, I've spent over 5 years providing excellent care to persons with special needs. I have extensive expertise making tailored care plans, aiding with daily duties, and documenting all that has been done. My excellent communication and organizational skills have enabled me to develop deep relationships with clients and their families, ensuring the highest quality treatment.

  • Adapted quickly to new client situations, building rapport through active listening skills and an empathetic approach towards individual needs.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Recognized and reported abnormalities or changes in patients' health status to case manager.

Caregiver

Home Instead
10.2019 - 04.2022

As an in-home caregiver, we take pleasure in providing a customer-focused caring experience, and you will have the opportunity to apply your interpersonal skills to deliver outstanding care to your assigned clients. You will develop close relationships with your clients as you provide fundamental services such as personal hygiene, physical activities, and specific duties. You will become an important member of the care team for your assigned clients, coordinating with physicians, nurses, physiotherapists, and other health care providers to ensure that the patient's requirements are met.

  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Maintained detailed records of daily activities, observations, incidents, medication intake-allowing for effective communication among healthcare team members.

Insurance Investigator

Lancesoft (Humana)
07.2019 - 10.2019

Conducted independent investigations into dubious claims, using excellent analytical and problem-solving abilities to unearth evidence of fraud. Collaborated with a team of claims adjusters and legal specialists to establish methods for dismissing false claims and taking legal action if needed.

  • Utilized surveillance techniques and equipment for gathering crucial evidence during field investigations.
  • Increased case resolution rates by conducting thorough insurance claim investigations.
  • Assisted colleagues with complex cases as needed, offering valuable insights based on personal experience.
  • Reduced fraudulent claims by identifying inconsistencies and discrepancies in claimant statements.

Nursing Assistant

Baptist Hospital
12.2018 - 10.2019

The nursing assistant supports the medical team while also providing direct patient care. Nursing assistants frequently help patients with washing, dressing, eating, and other everyday activities. They are also responsible for monitoring patients' status, responding to cries for aid, assisting with therapeutic treatments, putting up medical equipment, and keeping the facility clean and secure.

  • Skillfully operated medical equipment, such as glucose monitors and blood pressure cuffs, ensuring accurate data collection for informed decision-making by healthcare providers.
  • Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
  • Facilitated efficient patient transfers, reducing risk of injury through proper body mechanics and use of assistive devices.

Enrollment Specialist

Aerotek (ADP)
09.2018 - 12.2018

As a Benefits Enrollment Specialist, I was responsible for handling issues, questions, and providing detailed information on processes and policies; collecting information and qualifying candidates for programs and services; ensuring that the application is completed correctly; entering and reviewing data and records; providing guidance and recommendations to applicants; processing enrolments and disenrollments; and conducting information sessions.

  • Collaborated with HR team to ensure accurate and timely employee benefits administration.
  • Managed annual open enrollment process, coordinating informational sessions and providing support to employees throughout the process.
  • Supported the implementation of wellness initiatives to promote overall employee health and well-being within the organization.
  • Regularly reviewed vendor performance metrics, ensuring high-quality service delivery from insurance providers and other partners involved in benefits administration.

Resident Care Aide

Symphony at Oaklawn
01.2017 - 09.2018

As a Resident Care Aide, I provided compassionate care and assistance to residents in a healthcare setting, such as assisting with daily activities, monitoring health status, and creating a safe and supportive atmosphere for residents.

  • Consulted with supervisors to assess cases and plan strategies for enhancing care.
  • Helped patients care for themselves by teaching proper, safe use of ambulation assistive devices such as canes or walkers.
  • Assisted disabled clients to support independence and well-being.
  • Maintained a safe and clean environment for clients, reducing health risks and promoting overall wellbeing.

Education

Associate of Science - Nursing

Galen College of Nursing
12.2025

High School Diploma -

Suda E. Butler Traditional High School
06.2014

Skills

  • Software proficiency
  • Typing skills
  • Good organization skills
  • Leadership experience
  • People skills
  • Communication skills
  • Problem solving abilities
  • Healthcare accounting/billing
  • Document management
  • Data analysis
  • Collaboration talent
  • Administrative experience

Accomplishments

  • Meeting or exceeding performance targets consistently.
  • Successfully resolving complex claims with accuracy and efficiency.
  • Improving claims processing time or accuracy rates.
  • Implementing process improvements that enhanced efficiency.
  • Receiving recognition or awards for outstanding performance in claims examination.
  • Developing and delivering training programs for new claims examiners.
  • Building strong relationships with clients, resulting in increased satisfaction and retention rates.
  • Successfully handling a high volume of claims while maintaining quality standards.

Community Service

  • Helped hand out food at homeless shelter, 07/2011
  • Taught Vacation Bible School, 07/2012

References

  • Raven Forrest, (502) 235 - 8043, Known for 19yrs
  • Willie Tinsley, (502) 416 - 7365, Known for 12yrs
  • Penny Criswell, (270) 243 - 3333, Known for 8yrs

Additional Experience

Insurance Claims Specialist, Aerotek, Louisville,KY


Timeline

Patient Care Technician

The Little Clinic
08.2023 - Current

Personal Care Assistant

Norton Healthcare
04.2022 - 08.2023

Caregiver

Home Instead
10.2019 - 04.2022

Insurance Investigator

Lancesoft (Humana)
07.2019 - 10.2019

Nursing Assistant

Baptist Hospital
12.2018 - 10.2019

Enrollment Specialist

Aerotek (ADP)
09.2018 - 12.2018

Resident Care Aide

Symphony at Oaklawn
01.2017 - 09.2018

Associate of Science - Nursing

Galen College of Nursing

High School Diploma -

Suda E. Butler Traditional High School
Chanese Thompson