Cristy Mclean
Ahoskie,NC
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. 8 years of insurance experience.
Overview
29
29
years of professional experience
Work History
Claims Representative
Roanoke Chowan Community Health Center
- Interviewed policyholders to verify information and obtain additional details.
- Processed and recorded new policies and claims.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Developed strong relationships with clients, facilitating trust and open communication during the claims process.
Customer Service Representative
Concentrix
04.2020 - 02.2024
- Resolved associate, tool and service delivery issues revealed by statistical reports.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Developed customer service policies and procedures to meet and exceed industry service standards.
- Promptly responded to inquiries and requests from prospective customers.
Certified Nursing Assistant
Ahoskie Assisted Living
05.2012 - 09.2016
- Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Educated family members on caregiving techniques to better support their loved ones at home after discharge from the facility.
- Streamlined communication between nursing staff, patients, and families to ensure comprehensive understanding of care plans.
Administrative Assistant
Roanoke Chowan Community Hospital
02.1995 - 03.2011
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Contributed to cost reduction efforts by identifying opportunities for process improvements and negotiating vendor contracts.
- Volunteered to help with special projects of varying degrees of complexity.
- Drafted correspondence and other documents for CEO and department heads in company's voice.
Education
High School Diploma -
Southern Vance High School
Henderson, NC06.1993
Skills
- Accident Investigations
- Active Listening
- Records Management
- Proficient in [Software]
- Requirements Analysis
- Project Coordination
- Clerical Support
- Flexible and Adaptable
- Team Management
- Friendly, Positive Attitude
- Customer Relations
- Large-Sum Computations
- Reporting skills
- Patient Rapport
- Assertiveness
Timeline
Customer Service Representative
Concentrix
04.2020 - 02.2024
Certified Nursing Assistant
Ahoskie Assisted Living
05.2012 - 09.2016
Administrative Assistant
Roanoke Chowan Community Hospital
02.1995 - 03.2011
Claims Representative
Roanoke Chowan Community Health Center
High School Diploma -
Southern Vance High School
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