Cinnamon Newberry
Independence,MO
Summary
Motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Senior Dental Claims Adjuster
GEHA
Lee's Summit, MO
06.2018 - Current
- Investigate dental insurance claims, review coverage and liability and initiated payment or denial of claims.
- Responds within company standard to inquiries by telephone and written communication.
- Works with others across the organization to research claims and inquiries in a prompt,
courteous and accurate manner. - Assist in identifying process improvements, offers solutions to claim problems and communicate recommendations to management.
- Processes specialty claims including: orthodontics, implants, preauthorizations and dental claims on the medical rider.
- I have consistently met or exceeded my accuracy goals for my Quality Audits.
- I have met and exceeded my production goals every month for 2023 achieving 23.08-27.7 claims per hour, bringing my yearly average to 26.02, which is above goal for a Sr. Adjuster.
- I have continued to be very successful in meeting and/or exceeding OPM Measures. I take pride in my work and strive to do my part to enhance GEHA's relationship with OPM and their membership.
Senior Customer Care Representative
GEHA
Independence, Missouri
07.2011 - 06.2018
- Answered members inquiries and provided accurate information benefits.
- Maintained detailed records of member interactions and comments for future reference.
- Resolved complex problems by working with other departments to provide solutions that meet members needs.
- Developed strong relationships with members and providers by providing personalized assistance and support.
- Provided excellent customer service to resolve members and providers complaints in a timely manner.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Maintained the internal Help Desk to advise coworkers with issues.
- Trained new employees.
- Helped members create website accounts.
Education
Bachelor of Arts - Human Services/Sociology
Buena Vista University
Storm Lake, IA05-1996
Associate of Arts - Human Services
Metropolitain Community College
Lee's Summit MO05-1993
Skills
- Effective communication abilities
- Strong analytical skills
- Insurance claims adjudication
- HIPAA
- Claim validity determination
- Telephone Etiquette
- Insurance Verification
References
References available upon request.
Timeline
Senior Dental Claims Adjuster
GEHA
06.2018 - Current
Senior Customer Care Representative
GEHA
07.2011 - 06.2018
Bachelor of Arts - Human Services/Sociology
Buena Vista University
Associate of Arts - Human Services
Metropolitain Community College
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