Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Curtis Roberts

Smyrna,GA

Summary

Seasoned Processing Manager with background in overseeing daily operations, streamlining processes and enhancing productivity. Possess strong leadership skills, adept at managing teams to ensure quality control and adherence to company standards. Proven track record of implementing process improvements that optimize efficiency and reduce costs. Known for fostering positive work environments and maintaining high staff morale.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Claims Processing Manager

United Health Group
Atlanta, GA
04.2016 - 03.2025
  • Managed Claims Processing Department of up to 12 employees.
  • Responsible for ensuring all applications received in the office were accounted for in the company database.
  • Managed all incoming communications from local DFCS and SSA offices, ensuring prompt processing into the company database.
  • Created detailed documentation outlining steps required for successful completion of processes.
  • Developed training tools and materials for new projects.
  • Conducted regular training sessions for new employees on processing procedures.
  • Resolved customer inquiries regarding processing issues in a timely manner.
  • Reviewed daily reports to ensure that work received in the office is processed promptly.
  • Monitored, evaluated and reviewed daily employee performance data and production targets for high-volume processing work.
  • Administered daily processes by maintaining information integrity and verifying completeness of established procedures.
  • Coordinated with other departments to ensure timely completion of tasks.
  • Identified areas of inefficiency and proposed solutions to optimize processes.
  • Maintained updated knowledge through continuing education and advanced training.
  • Collaborated effectively with diverse coworkers to achieve goals and resolve service-related challenges.

Resolve Application Specialist

United Health Group (Change HealthCare)
Atlanta, Georgia
04.2014 - 04.2016
  • Managed between 150 and 200 cases each week.
  • Contacted customers to discuss pending applications.
  • Performed troubleshooting of application issues to identify root causes and resolution paths.
  • Regularly communicated with DFCS and SSA offices for latest application information.
  • Analyzed data systems and presented weekly reports to management.
  • Created detailed documentation related to application configuration and usage.
  • Coordinated with management to identify and address customer needs.
  • Addressed customer issues through effective solutions and workarounds.
  • Consulted with other departments regarding their functional requirements when developing applications.
  • Maintained updated knowledge through continuing education and advanced training.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
  • Assisted with customer requests and answered questions to improve satisfaction.
  • Exceeded customer satisfaction by finding creative solutions to problems.
  • Managed time effectively to ensure tasks were completed on schedule and deadlines were met.

Claims Processor

United Health Group (Change HealthCare)
Atlanta, GA
10.2009 - 04.2014
  • Processed Medicaid and Disability applications and forwarded to appropriate agencies for processing.
  • Maintained confidentiality of policyholder information in compliance with HIPAA regulations.
  • Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data.
  • Adhered to state and federal regulations regarding Medicaid and Disability claims processing.
  • Documented all stages of processing in the firm’s database.
  • Provided technical guidance and training to new staff members regarding claim processing procedures.
  • Performed additional duties as requested by management team.
  • Identified and flagged suspicious claims for further investigation.
  • Collaborated closely with team members to achieve project objectives and meet deadlines.

Education

Bachelor of Arts - Political Science

Clark Atlanta University
Atlanta, GA
05-2004

Skills

  • Claims processing
  • Data analysis
  • Process optimization
  • Employee training
  • Quality control
  • Documentation creation
  • Customer service
  • Performance monitoring
  • Team management
  • Strategic planning
  • Communication skills
  • Problem solving
  • Team meetings
  • Quality assurance
  • Project management
  • Process documentation

Certification

  • Six Sigma Yellow Belt
  • HIPAA Certified
  • Microsoft Office Applications (Word, Excel, Powerpoint, Outlook, TEAMS)

Timeline

Claims Processing Manager

United Health Group
04.2016 - 03.2025

Resolve Application Specialist

United Health Group (Change HealthCare)
04.2014 - 04.2016

Claims Processor

United Health Group (Change HealthCare)
10.2009 - 04.2014

Bachelor of Arts - Political Science

Clark Atlanta University

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Curtis Roberts