Debra Hardie
Hutto,TX
Summary
Experienced Claims Processor and Office Professional experienced optimizing productivity, efficiency, and service quality across various environments. Dependable, ethical, and dependable support specialist and leader that blends advanced organizational, technical, and business acumen. Works effectively with cross-functional teams.
Professional with significant experience in handling claims and ensuring efficient processing. Known for strong team collaboration and adaptability to changing needs. Skilled in problem-solving, customer service, and data analysis. Reliable and results-driven with focus on achieving organizational goals.
Overview
15
15
years of professional experience
Work History
Claims Coordinator
Central Health
Austin, Tx
07.2024 - 05.2026
- Retrieve mail daily from post office.
- Batch incoming mail to appropriate Health Plans Department.
- Prepare and deliver outgoing mail.
- Manage EOBs to match with provider checks and prepare for mailing out.
- Scan all physical claims received by mail and fax.
- Entered Central Health claims into VBA.
- Process Grievances into VBA
- Scanned all Appeals into system in a timely manner.
- Ensure all privacy and security standards related to HIPPA.
- Understand and follow through on verbal and written instruction.
- Manage a high volume of work.
CLAIMS PROCESSOR
Citizens Inc
Austin, Tx
06.2021 - 12.2022
- Review policy contracts and determine if coverage is applicable.
- Review and prepare claims for processing.
- Determine base payment by referring to life.
- Insurance policy coverage and limits.
- Maintain complete confidentiality of company business.
- Participate in educational seminars, webinars, and local claims meetings.
- Calculate claims up to $10,000.
- Maintained 99% accuracy rating.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Identified fraudulent claims through investigation and documentation of findings.
- Managed escalated customer concerns regarding claim denials or delays with empathy and professionalism.
- Receive notification of death of policyholder.
- Process domestic death benefits for life insurance.
- Request checks from accounting and send them to beneficiary.
ADMINISTRATIVE ASSISTANT II
Texas Department of Health and Human Services
Austin, Tx
07.2017 - 06.2021
- Provide administrative support to six Department Attorneys in a professional environment.
- Prepared confidential information by email or mail to clients.
- Process all incoming and outgoing mail.
- Scanned, copied, and filed documents.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
ADMINISTRATIVE ASSISTANT
Spectrum/Charter Communications
Austin, Tx
06.2011 - 07.2017
- Provide three hundred Quality audit checks on Customer accounts daily.
- Completed over three hundred audits per day.
- Actively use basic math calculations to apply to customer accounts.
- Updated customer addresses regularly.
- Regularly attended continuing education to stay updated on equipment and procedures.
- Provided quality review checks on accounts submitted by Customer Service Representatives
- Calculated credits daily, ensuring accuracy and efficiency.
- Assisted in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure smooth integration into team.
Education
HIGH SCHOOL GRADUATE WITH / COLLEGE CLASSES IN BUSINESS
Skills
Scanning equipment and document control
Decision-making
Attention to details
Time Management
Adobe Acrobat
Data Entry
Office Administration
Business letter writing, grammar and punctuation and report preparation
Office procedures and protocol
Problem-solving
Strong people skills
Life insurance
Critical thinking
Adaptability
Standard office equipment
Customer Service
Computer Skills
Scanning equipment and document control
- Microsoft office
- Teamwork
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Excellent communication
- Active listening
- Decision-making
- Relationship building
- Data entry
- Self motivation
Timeline
Claims Coordinator
Central Health
07.2024 - 05.2026
CLAIMS PROCESSOR
Citizens Inc
06.2021 - 12.2022
ADMINISTRATIVE ASSISTANT II
Texas Department of Health and Human Services
07.2017 - 06.2021
ADMINISTRATIVE ASSISTANT
Spectrum/Charter Communications
06.2011 - 07.2017