Damien Black
Addison
Summary
Highly skilled and professional Customer Service Expert with over 5 years of experience in providing exceptional service and support to clients. Demonstrated expertise in handling high-volume and complex customer inquiries, resolving complaints, and ensuring customer satisfaction. Strong ability to build rapport, cultivate relationships, and effectively communicate with customers to understand their needs and provide appropriate solutions. Proven track record of achieving and exceeding performance targets, maintaining a high level of accuracy, and contributing to team success. A proactive and adaptable individual with excellent problem-solving skills and a strong commitment to delivering top-notch customer service in fast-paced environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Healthcare and Insurance Analyst
NTT Data
06.2024 - Current
- Analyze and process healthcare and insurance claims to ensure compliance with regulatory standards and client policies.
- Collaborate with insurance providers and healthcare organizations to resolve claim discrepancies and optimize claim processing timelines.
- Utilize advanced data management tools and systems to maintain accurate records and streamline reporting.
- Provide insights to support decision-making and process improvement initiatives within the healthcare and insurance sectors.
Customer Service Representative
Parkland Hospital
07.2021 - 04.2024
- Managed and processed patient billing and insurance claims for a high-volume medical practice, resulting in accurate and timely reimbursement
- Conducted financial counseling sessions with patients to explain billing procedures, payment options, and financial assistance programs
- Implemented and maintained effective systems for accurate documentation and tracking of patient financial information, resulting in improved efficiency and reduced errors
- Collaborated with healthcare providers and insurance companies to ensure compliance with billing and reimbursement guidelines and regulations
Bodily Injury claims Adjuster
Allstate
10.2021 - 01.2023
- Conducted thorough investigations of bodily injury claims to determine liability and settlement negotiations
- Analyzed medical records and documented injuries to accurately evaluate the extent of damages and determine appropriate payout
- Demonstrated exceptional negotiation skills with claimants and third-party insurers, resulting in cost-effective settlements and minimizing claim disputes
Medical Claims Examiner
United Healthcare
11.2018 - 10.2021
- Reviewed and processed medical claims to ensure accuracy and compliance with insurance policies and regulations
- Utilized coding systems such as CPT, ICD-10, and HCPCS to accurately determine claim reimbursement amounts
- Maintained organized and up-to-date documentation of all claim activities and communicated findings to the appropriate parties
Claims Adjuster
State Farm
07.2017 - 11.2018
- Evaluated, investigated, and processed property damage and liability claims from start to finish
- Prepared detailed reports and documentation, including claim files, investigation findings, and settlement agreements
- Negotiated settlements with insured parties and third-party claimants, ensuring fair and cost-effective resolutions
Education
High School Diploma -
Metropolitan Christian School
Atlanta, GaBachelor of Business Administration -
University of People
05-2027
Skills
- Policy analysis
- Portfolio management
- Claims management
Certification
PROPERTY AND CASUALTY LICENSE December2021
Timeline
Healthcare and Insurance Analyst
NTT Data
06.2024 - Current
Bodily Injury claims Adjuster
Allstate
10.2021 - 01.2023
Customer Service Representative
Parkland Hospital
07.2021 - 04.2024
Medical Claims Examiner
United Healthcare
11.2018 - 10.2021
Claims Adjuster
State Farm
07.2017 - 11.2018
High School Diploma -
Metropolitan Christian School
Bachelor of Business Administration -
University of People
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