Summary
Overview
Work History
Education
Skills
Timeline
Generic

Christine Zak

Follansbee,WV

Summary

Dynamic professional with extensive experience in claims processing and customer service, notably at Aetna. Excelled in accuracy, precision, and training, enhancing team productivity significantly. Skilled in transactions reconciliation and mentoring, demonstrating a keen ability to improve processes and foster team growth. Proven track record of achieving stringent deadlines and maintaining high-quality standards.

Overview

35
35
years of professional experience

Work History

Claims Processor

Aetna
08.1993 - Current
  • aged high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Trained new employees on claims processing procedures, contributing to well-prepared workforce.
  • Identified fraudulent claims through thorough investigation and documentation of findings.
  • Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
  • Monitored changes in legislation that could potentially impact the way claims are processed or paid out by insurance companies.
  • Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
  • Developed and implemented quality assurance processes to check accuracy of claims processing.
  • Increased team productivity by leading training sessions on best practices for claims processing.
  • Worked on dedicated accounts (Putnam Control)
  • Worked on special projects for claims.
  • Trained a new hire class
  • Assisted new hire class in Hartford CT with Mentoring for claims.
  • Lead huddle call meeting.facilitate claim question meetings
  • Mentor claims processors on our team with claim questions.
  • Help with system testing when a claims processor is needed to test system after system updates are implemented.
  • Suggest ideas for making claims processing better.
  • Complete training for my job to stay up to date on new ways of processing claims.
  • Use variety of tools and maros to do my job correctly.

Banking Customer Service Representative

Bank of Weirton
07.1989 - 07.1993

Answered redirected calls where needed.

Assisted people with their safety deposit boxes.

Opened and closed accounts for members safety deposit boxes.

Typed up bills for Safety deposit boxes.

Opened new savings and checking accounts.

Helped customers balance their checking accounts.

Closed checking and savings accounts.

Education

High School Diploma -

Brooke High School
Wellsburg, WV
06-1989

Skills

  • Claims review
  • Accuracy and precision
  • Transactions reconciliation
  • Assisted with Dedicated accounts
  • Acas system
  • Training and mentoring claims processors

Timeline

Claims Processor

Aetna
08.1993 - Current

Banking Customer Service Representative

Bank of Weirton
07.1989 - 07.1993

High School Diploma -

Brooke High School
Christine Zak