Chantel Smith
Texarkana,TX
Summary
Driven professional with a track record of enhancing member satisfaction and minimizing financial risk at companies like State Farm. Expert in Medicare knowledge and policy understanding, with a knack for customer service excellence. Achieved significant cost savings through meticulous documentation and effective negotiation. Skilled in data entry and adept at fostering positive vendor relationships.
Overview
13
13
years of professional experience
Work History
Medicare Representative/ Dialysis Clerk
Collom & Carney Clinic
06.2021 - Current
- Enhanced member satisfaction by efficiently addressing and resolving Medicare-related inquiries.
- Maintained compliance with all HIPAA regulations when handling sensitive member information and documentation.
- Exceeded call quality standards by consistently demonstrating professionalism, empathy, and active listening skills during interactions with members.
- File all claims that do not file electronically.
- Working the denial EOBs.
- Working account on the collection work list.
- Processed customer exchanges,refunds and bill adjustments to correct product or service problems.
- Handle all dialysis claims
Claims Adjuster
State Farm
02.2014 - 06.2020
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
Book Keeper
Rowland Smith Lawn Service
07.2011 - 10.2013
- Maintained and processed invoices, deposits, and money logs.
- Managed accounts payable and receivable activities, maintaining vendor relationships and positive cash flow.
- Handled payroll processing for employees, ensuring timely payment and adherence to tax regulations.
- Monitored incoming payments from clients, ensuring prompt application of funds against outstanding invoices.
- Tracked expenses and income for businesses while organizing and maintaining bank statements for checking accounts.
Education
High School Diploma -
Texas High School
Texarkana, TX05.2006
Skills
- Goal-Oriented
- Data entry proficiency
- Medicare knowledge
- Policy understanding
- Healthcare industry awareness
- Customer service expertise
- Customer Service
- Data Entry
Timeline
Medicare Representative/ Dialysis Clerk
Collom & Carney Clinic
06.2021 - Current
Claims Adjuster
State Farm
02.2014 - 06.2020
Book Keeper
Rowland Smith Lawn Service
07.2011 - 10.2013
High School Diploma -
Texas High School
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