Colleen Sinclair
Medical Insurance
Springfield,IL
Summary
Dynamic insurance professional with 12 years at Springfield Clinic, excelling in accuracy and compliance. Proven adaptability and critical thinking skills led to reduced review turnaround times. Strong attention to detail and effective communication fostered team collaboration and enhanced training programs, driving overall performance and quality in document reviews.
Experienced with content analysis and feedback. Utilizes critical thinking and detailed examination to improve content quality. Track record of clear and effective communication in delivering constructive feedback.
Professional reviewer with high standard for quality and results. Reviewed diverse content, providing precise and valuable feedback to enhance overall quality. Known for strong team collaboration and adaptability to changing needs. Proficient in critical analysis and clear communication.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
35
35
years of professional experience
Work History
Insurance Reviewer II
Springfield Clinic
12.2012 - 03.2025
- Reviewed documents for accuracy and compliance with established guidelines.
- Assisted in evaluating submissions to ensure adherence to quality standards.
- Maintained organized records of reviewed materials for easy retrieval.
- Collaborated with team members to discuss findings and improve review processes.
- Learned industry-specific terminology to enhance understanding of review criteria.
- Adapted quickly to changes in review protocols and best practices.
- 12 years of experience with HealthLink insurance
- Maintained strong attention to detail while reviewing numerous documents daily, ensuring consistent quality and accuracy.
- Maintained strict confidentiality with sensitive client information, adhering to industry standards and company policies.
- Conducted in-depth research to strengthen the overall quality and credibility of each review.
- Assisted management with identifying skill gaps among reviewers, developing targeted training programs aimed at boosting overall team performance.
- Sustained high levels of productivity under tight deadlines by efficiently using available resources.
- Reduced turnaround time for reviews by effectively prioritizing tasks and managing deadlines.
- Stayed up-to-date on industry trends and best practices, incorporating relevant information into reviews as needed.
Insurance Review
Express Employment - Springfield Clinic
08.2012 - 12.2012
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Managed time efficiently in order to complete all tasks within deadlines.
- Paid attention to detail while completing assignments.
- Developed and maintained courteous and effective working relationships.
- Learned and adapted quickly to new technology and software applications.
Claims Reviewer
Express Employment - Horsce Mann Insurance
08.2011 - 05.2012
- Reviewed claims for compliance with policy guidelines and regulatory requirements.
- Analyzed complex claims to identify discrepancies and recommend resolutions.
- Sent and received letters to customers to gather household on vehicle and home owners policies to stay insured.
- Gathered information to see if the customers are within guidelines of flood and/ or fire zones to see if they are qualified or denied for insurance.
- Inspected property goggle to verify the applicant information.
Assistant Manager
New Salem Lincoln Souvenir and Book Shop
04.1990 - 04.2011
- Supervised daily operations, ensuring efficient workflow and optimal customer service standards..
- Implemented inventory enhancing stock organization and accessibility for customers.
- Resolved customer inquiries promptly, fostering positive relationships and repeat business opportunities.
- Managed cash registers efficiently, ensuring accurate transactions, balancing drawers daily, and minimizing discrepancies.
- Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
- Enhanced store appearance for increased sales by maintaining cleanliness and implementing strategic merchandise displays.
- Rotated merchandise and displays to feature new products.
- Processed payments for credit and debit cards and returned proper change for cash transactions.
- Streamlined inventory management with regular audits, accurate ordering, and efficient stock organization.
- Resolved escalated customer issues effectively leading to improved customer satisfaction rates.
- Maintained positive customer relationships by responding quickly to customer service inquiries.
- Reconciled daily sales transactions to balance and log day-to-day revenue.
- Trained and guided team members to maintain high productivity and performance metrics.
- Interacted well with customers to build connections and nurture relationships.
- Reported issues to higher management with great detail.
Education
GED -
PORTA
Petersburg, ILSkills
- Email communication
- Attention to detail
- Adaptability and flexibility
- Decision-making
- Accuracy and precision
- Team contribution
- Critical thinking
- Data entry
- Work prioritization
- Dependability and cooperation
- Clear communication
- Customer service
- Production deadlines
- Proficient in Microsoft Excel
Timeline
Insurance Reviewer II
Springfield Clinic
12.2012 - 03.2025
Insurance Review
Express Employment - Springfield Clinic
08.2012 - 12.2012
Claims Reviewer
Express Employment - Horsce Mann Insurance
08.2011 - 05.2012
Assistant Manager
New Salem Lincoln Souvenir and Book Shop
04.1990 - 04.2011
GED -
PORTA
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