Cherie Grace
Hamden
Summary
Customer Service Representative
Overview
17
17
years of professional experience
1
1
Certification
Work History
Licensed Claims Adjudicator
Alliant Insurance
Cheshire, CT
02.2016 - Current
- Provided professional customer service on multiple accounts to claimants, medical/dental providers offices as well as the insurance carrier by taking and making phone calls, responding to emails, sent letters and through faxes in a timely manner
- Guided the claimants by explaining their personal accounts so that they had a thorough understanding of their benefits and how to utilize them, answered all questions and concerns they had, while also adhering to the HIPPA requirements. Went over premiums, EOB's, policies, claims, applications, eligibility, beneficiary forms, address changes and complaints
- Successfully handled escalated situations in a calm manner that further showcased my customer service skills and made sure to provide solutions to their concerns
- Maintained all account changes by documenting each interaction accurately by updating any necessary files/paperwork
- Ran claims files daily, did adjustments, corrected claim errors, reimbursements, entered claims, processed refunds, updated Excel spreadsheets, requested overpayments
Customer Service Representative
Aerotek/3M
Meriden, CT
07.2014 - 12.2015
- Described merchandise and explain use, operation, and care of merchandise to businesses. Recommended, selected, and helped locate or obtain merchandise based on customer needs and desires. Computed sales prices, total purchases and receive and process cash or credit payment. Answered questions regarding the store and its merchandise. Maintained knowledge of current sales and promotions, policies regarding payment and exchanges, and security practices.
Claims Coordinator
Freedom Disability
Shelton, CT
08.2009 - 03.2014
- Provided point of contact for all claimants regarding their claim for benefits. Addressed customer complaints and updated any changes pertaining to their claim status. Maintained correspondence for claims and worked directly with SSA, DDS and ODAR.
Education
Medical Assistant - Executive Medical Assistant
Briarwood College
06.2002
Certification
- Certified Nursing Assistant (CNA)
- DANB License
- Claims Adjusters License
Timeline
Licensed Claims Adjudicator
Alliant Insurance
02.2016 - Current
Customer Service Representative
Aerotek/3M
07.2014 - 12.2015
Claims Coordinator
Freedom Disability
08.2009 - 03.2014
Medical Assistant - Executive Medical Assistant
Briarwood College