Desmond Gambrell
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
8
8
years of professional experience
Work History
Team Lead
Exela Technologies- Veterans Administration
10.2020 - 06.2023
- Communication via email
- Processed Payroll
- Ensured all VA Files are properly handled
- Oversaw team of 60 employees
- Communicated via email
- Trained new employees.
Veterans Claims Processor
Retail Direct
09.2019 - 10.2020
- Processed Veterans Files
- Trained Employees
- Documented
- Communicated via Email
- Visited other sites to gain more training knowledge for my location
- Created template for better processing for Vet Claims.
Routing Supervisor
Retail Direct
07.2017 - 09.2019
- Ensured all trucks were routed efficiently
- Processed Payroll
- Oversaw team of 20 Employees
- Communicated via Email
- Attended conferences and workshops
- Assisted in writing a SCP for Routing guidelines and protocols.
Customer Service Rep/Routing Coordinator
Exela Technologies- Veterans Administration
04.2015 - 07.2017
- Routed Trucks for Lowes
- Processed emails while multitasking calls
- Ensured all time-windows were met
- Trained coworkers on the process of Routing and Assisting customers
- Communicated via email
- Trained new employees.
Education
Bachelor of Science in Biology -
Alabama State University
12.2011
Skills
- Customer Focus
- Coaching and Mentoring
- Claims
- Claims Processing Software
- Policy Interpretation
- Professionalism and Ethics
- Regulatory Compliance
- Insurance Regulations Understanding
- Critical Evaluation
- Data Entry
- Critical Thinking
- Claims Processing
- Claims adjustment
- Claim Amount Calculations
- Customer Service
- Policy analysis
- Coverage Determination
- Skilled in [Software]
Affiliations
- Member of – Iota Phi Theta Fraternity, Inc.
- Member of- Phi Beta Lambda Professional Business Fraternity, Inc.
Timeline
Team Lead
Exela Technologies- Veterans Administration
10.2020 - 06.2023
Veterans Claims Processor
Retail Direct
09.2019 - 10.2020
Routing Supervisor
Retail Direct
07.2017 - 09.2019
Customer Service Rep/Routing Coordinator
Exela Technologies- Veterans Administration
04.2015 - 07.2017
Bachelor of Science in Biology -
Alabama State University