DARSHANIE GIR
East Stroudsburg,PA
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Examiner
Sutherland Global, Healthfirst
08.2022 - Current
- Consistently exceeded daily call quota of 250 by 15% while providing prompt and courteous customer support
- Generated customer insight reports and accurately inputted sensitive data totaling 12,000 units
- Achieved 5-star customer satisfaction rating through effective communication via voice, chat, and email
- Diagnosed and resolved customer claims, providing step-by-step solutions, and ensuring customer satisfaction
- Paid or denied medical claims based upon established claims processing criteria.
- Followed up on denied claims to verify timely patient payment and resolution.
- Through understanding of fundamental billing and claim processing, contributing to efficient financial operations.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records
Package Handler
UPS Ground
08.2019 - 01.2023
- Maintained 100% accuracy while scanning and sorting 1,200+ packages per shift
- Loaded approximately 2,000 lb of packages onto various fleet vehicles daily
- Conducted daily quality checks of inventory, promptly reporting, and removing damaged items for inspection
- Communicated regularly with supervisors to provide information on delays and issues with shipments
- Proven ability to learn quickly and adapt to new situations
- Skilled at working independently and collaboratively in a team environment to adeptly solve problems
- Excellent communication skills, both verbal and written
Assistant/Internship Student
Shutterstock
01.2022 - 05.2022
- Interacted with customers by phone, email, or in-person to provide information.
- Updated and maintained customer information, documents and records.
- Offered technical support and troubleshot issues to enhance office productivity.
- Managed data and correspondence to secure information across complex landscapes of organizational departments.
- Entered data into various computer systems accurately using Microsoft Office Suite.
- Compared transcribed data with source document to detect and correct errors.
- Worked well in team environment as well as independently.
Package Handler
FedEx Ground
10.2018 - 06.2019
- Sorted packages into 30 different totes for proper domestic and international distribution
- Operated forklift and loaded packages onto pallets for efficient transportation
- Ensured compliance with safety standards and maintained cleanliness in storage area
- Conducted thorough inspections of 30% of packages to verify correct sealing
- Maintained accurate records of incoming and outgoing packages and shipments for future reference
- Used hand-held scanners and physical logs to accurately track item movements
- Proved successful working within tight deadlines and fast-paced environment
Sales Associate/Keyholder
T-Mobile
06.2017 - 08.2018
- Provided customers with in-depth knowledge of carrier plans, assisting them in making informed choices
- Proactively managed over 50 customers per day addressing technical issues for customers, including data transfers and phone setup
- Proficient in various computer applications and software relevant to industry
- Drove store revenue up by 15% offering customers accessories and related purchases to complete selections
- Built relationships with customers and community to establish long-term business growth
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences
- Analyzed and reported on KPIs to validate and demonstrate success of marketing campaigns
Education
Bachelor of Science - Criminal Justice
East Stroudsburg University
East Stroudsburg, PA05.2022
Associate of Science - Law & Society
John Jay College of Criminal Justice
New York, NYSkills
- Management of Personnel Resources
- Complex Problem-Solving
- Prior Authorization Processing
- Medical Terms and Procedure Knowledge
- Technical Support
- Project Management Abilities
- Administrative and Office Support
- Multi-Line Phone Systems
- Verbal and Written Communication
Certification
Pennsylvania Notary Public
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Claims Examiner
Sutherland Global, Healthfirst
08.2022 - Current
Assistant/Internship Student
Shutterstock
01.2022 - 05.2022
Package Handler
UPS Ground
08.2019 - 01.2023
Package Handler
FedEx Ground
10.2018 - 06.2019
Sales Associate/Keyholder
T-Mobile
06.2017 - 08.2018
Bachelor of Science - Criminal Justice
East Stroudsburg University
Associate of Science - Law & Society
John Jay College of Criminal Justice