Crystal Edwards
Lyons,Georgia
Summary
To obtain a position utilizing the skill of Business Administration Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
Overview
20
20
years of professional experience
Work History
Claims Benefits Specialist
CVS Health
07.2023 - Current
- My duties consist of processing Medicaid Claims by using the tools ECHS and QNXT
- I have to meet a daily production amount and make sure all claims are processed correctly and in a timely manner
- Also, I sent claims back to providers that had missing information by using our ECHS and Quickbase Software.
GED Instructor
Southeastern Technical College
10.2019 - 03.2023
- My duties consist of teaching women in a detention center general studies
- I had to prepare the ladies for GED testing
- I assisted them until they were ready to test and until they received passing scores.
Rural Carrier
United States Postal Service
10.2018 - 11.2019
- My duties were to use my personal vehicle and deliver daily mail based on my daily route
- I had to deliver mail and packages daily.
English Tutor
VIP Kids
07.2017 - 05.2018
- My duties consisted of logging into my computer daily for 3 hours and training students on how to speak English
- My duties were to start with the Alphabet then progress to words, to complete sentences and to mathematics.
Bookstore Coordinator
Southeastern Technical College
08.2016 - 06.2017
- My duties consist of running the bookstore in the most efficient manner
- In addition, my duties are to check every student out with a smile and make sure by the end of the day the register is closed
- In addition, the register has to balance as well by the end of the day.
Customer Service Agent
Teletech, Inc.
08.2012 - 02.2016
- My duties included taking phone calls from customers about the products they purchased from Best Buy
- I help with tech issues and with programming or setup up processes
- In addition, I was a trainer for the Inuit program
- Where I trained new hires on how to answer tax questions for the turbo tax software
- I had to sell products to customers as well as issue refunds on products they had an issue with or they did not need.
Accounting Clerk
Lower Oconee Community Hospital
08.2007 - 04.2011
- My duties consisted of making accounts payable payments to each vendor on a weekly pay period
- Also, I completed payroll for the entire department on a bi-weekly pay period
- Also, I completed year end reports for the hospital.
Work Study Employee & Part –Time Library Assistant
Southeastern Technical College
10.2003 - 08.2007
- My duties as a Work Study Employee were to float
- I worked switchboard as a Receptionist assistant
- My duties consisted of transferring calls to the appropriate department
- My duties as a Financial Aid Assistant consisted of filing all aid forms by student names and helping organize the way students saw a financial aid representative
- As a part-time employee, I was a Library Assistant
- My duties consisted of checking in and out books and helping students gain access to the computers.
Education
Associates Degree in Management & Supervisory Development -
Southeastern Technical College
Vidalia, GeorgiaAssociates Degree in Accounting -Honor Graduate -
Southeastern Technical College
Vidalia, GeorgiaMaster's Degree in Business Administration -
Strayer University
Herndon, Virginia09.2015
Bachelor Degree in Business Administration -
Troy University
Troy, Alabama10.2011
Diploma, Cosmetology -
Southeastern Technical College
Vidalia, Georgia09.2006
Skills
- Claims analysis
- Policy Interpretation
- Benefits Administration
- Microsoft Office
- Claim investigation
- Documentation Review
Honors And Awards
- Guest Speaker at Graduation October 2005 Southeastern Technical College
- A member of National Technical Honor Society
- Vice President of Student Senate
Skills And Certification
- Microsoft Word
- Excel
- Internet
- QuickBooks Pro
- Bookkeeping
- Excellent organizational skills
- Time management skills
- Problem-solving skills
- Microsoft Office Specialist Certification
References
Available upon Request
Timeline
Claims Benefits Specialist
CVS Health
07.2023 - Current
GED Instructor
Southeastern Technical College
10.2019 - 03.2023
Rural Carrier
United States Postal Service
10.2018 - 11.2019
English Tutor
VIP Kids
07.2017 - 05.2018
Bookstore Coordinator
Southeastern Technical College
08.2016 - 06.2017
Customer Service Agent
Teletech, Inc.
08.2012 - 02.2016
Accounting Clerk
Lower Oconee Community Hospital
08.2007 - 04.2011
Work Study Employee & Part –Time Library Assistant
Southeastern Technical College
10.2003 - 08.2007
Associates Degree in Management & Supervisory Development -
Southeastern Technical College
Associates Degree in Accounting -Honor Graduate -
Southeastern Technical College
Master's Degree in Business Administration -
Strayer University
Bachelor Degree in Business Administration -
Troy University
Diploma, Cosmetology -
Southeastern Technical College
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