Cortney Vasquez
Winter Haven,FL
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Highly skilled at answering and providing information.
Insurance professional with comprehensive experience in claims management, adept at assessing, processing, and resolving claims efficiently. Proven skills in investigation, analysis, and negotiation, ensuring fair outcomes and policy compliance. Strong focus on team collaboration and adaptability, delivering results through effective communication and problem-solving. Reliable and flexible, meeting changing needs and maintaining high standards in all tasks.
Overview
17
17
years of professional experience
Work History
Insurance Claims Specialist
GEICO
02.2024 - 09.2024
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Evaluated and settled complex insurance claims in strict timeframes.
- Maximized client retention by addressing concerns promptly and professionally, consistently demonstrating empathy and understanding during difficult situations.
Insurance Verification Specialist
Health Care Service Corporation
12.2020 - 01.2024
- Update patient and insurance data and input changes into company customer system
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits
- Accessed third-party insurance databases to identify coverage of benefits
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles
- Contacted patients to confirm demographic information and communication financial responsibilities
- Navigated through multiple online systems to obtain documentation
- Entered data in EMR database to record payer, authorization requirements and coverage limitations
- Examined claims, records and procedures to grant approval of coverage
- Handled billing related activities focused on medical specialties
Patient Advocate
HealthPartners
07.2014 - 10.2020
- Provided knowledgeable and compassionate service in response to patient questions and concerns
- Managed database of patient information and frequently used computerized systems to track details
- Assisted patients in selecting appropriate courses of actions and obtaining needed support
- Helped patients understand care, coverage and payment responsibilities and rights
- Received patient inquiries or complaints and directed to appropriate medical staff members
- Obtained informed consent and payment documentation from patients and filed in system
- Explained policies, procedures and services to patients
- Documented patient counters in hospital system and initiated follow-up actions
Shift Supervisor
CVS Pharmacy
08.2010 - 06.2014
- Promote CVS customer service culture (Greet, Offer help, and Thank)
- Maintain customer/patient confidentiality
- Supervise the store’s crew through assigning, directing and following up of all activities
- Work effectively with store management and crew members
- Supervising the uploading of material from company trucks
- Handling cycle counts, price changes, Quick picks of the store inventory
- Ordering products for entire store including pharmaceuticals
- Opening and closing shifts, Handling office duties, including bank deposits and imprest verifications
Dispatch Manager
Fleetwing
06.2007 - 07.2010
- Received and processed orders for delivery and transport of petroleum products via company equipment, and coordinates equipment to meet customer product demands
- Received direct orders (counter sales) of petroleum products
- Coordinated company equipment and crews
- Scheduled deliveries of petroleum products for pick up
- Reported incidents and accidents in a timely manner via our CSD Manager
- Coordinated with the Fleet Manager and Maintenance Department for the availability of equipment for scheduled and un-scheduled inspection and repair
- Assisted the customer service manager in the daily duties of meeting customer demands
- Followed all company practices and procedures
- Handled delivery expectations, including creating logs and generating reports
Education
High School Diploma -
Burke County High School
Waynesboro, GA01.2007
Skills
- Efficient and Detail-Oriented
- Verbal and Written Communication
- Data Entry and Maintenance
- Product Knowledge
- Calm and Professional Under Pressure
- Creative Problem Solving
- Customer Service
- Multitasking and Prioritization
- Upbeat and Positive Personality
- Credit Card Payment Processing
- Claims analysis
LANGUAGES
English
Timeline
Insurance Claims Specialist
GEICO
02.2024 - 09.2024
Insurance Verification Specialist
Health Care Service Corporation
12.2020 - 01.2024
Patient Advocate
HealthPartners
07.2014 - 10.2020
Shift Supervisor
CVS Pharmacy
08.2010 - 06.2014
Dispatch Manager
Fleetwing
06.2007 - 07.2010
High School Diploma -
Burke County High School
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