Open To Work
Devan Lloyd
Fort Scott,KS
Work Preference
Summary
Claims Processor skilled in managing high-volume claims while ensuring compliance and accuracy. Proven track record of developing standard operating procedures to enhance workflow and team collaboration. Adaptable and organized professional committed to timely and efficient claim resolution.
Overview
15
15
years of professional experience
Work History
Claims Adjuster
Clarity Performance Solutions
Fort Scott, Kansas
02.2023 - Current
- Managed high volume of claims, achieving timely processing to meet established standards.
- Evaluated claims for accuracy and adherence to company policies, ensuring compliance.
- Analyzed complex claims to determine validity and recommend necessary adjustments.
- Communicated with clients to gather information and clarify claim details.
- Worked collaboratively with team members across multiple departments; identified areas where processes could be improved and helped develop the standard operating procedure for our current client.
Childcare Provider
Self Employed
Fort Scott, KS
04.2018 - 01.2023
- Developed and implemented lesson plans and activities for children of various ages.
- Designed and executed engaging activities that promoted creativity and self-expression.
- Facilitated children's emotional and social development, fostering understanding of others and enhancing self-concepts.
- Used positive reinforcement and behavior modeling to instill discipline in children.
- Updated parents or guardians on daily activities, behaviors, and upcoming events to strengthen family engagement.
Claims Processor
Firstsource Solutions
Fort Scott, KS
07.2012 - 04.2018
- Processed HCFA and UB claims in QNXT, ensuring accurate and timely claim resolution.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
- Reviewed history records to determine benefit eligibility, facilitating appropriate service approvals.
- Verified claim data correctness to prepare for processing, reducing errors and enhancing workflow.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Worked as a SME/Team Leader for HCFA and UB groups.
- Utilized medical terminology knowledge to enhance comprehension of procedures. in effort to better comprehend procedures.
- Effectively and efficiently worked in office and remotely while staying on task.
Assistant Manager
Hibbett Sporting Goods
Fort Scott, KS
05.2011 - 06.2012
- Collaborated with store manager to develop strategies for achieving sales and profit goals.
- Delegated work to staff, setting priorities and goals.
- Delegated daily tasks to team members to optimize group productivity.
- Coached team members, delivering constructive feedback to enhance productivity and build confidence.
- Resolved escalated customer inquiries and complaints, ensuring satisfactory outcomes for customers.
- Supervised receiving and stockroom activities, identifying inventory opportunities to minimize shrinkage.
- Performed regular inventory audits to track product availability. to identify losses and project demand.
- Monitored financial transactions to ensure accurate revenue collection, accurately monitoring transactions and deposits to eliminate discrepancies.
- Completed thorough opening, closing and shift change functions to maintain operational standards each day.
Education
High School Diploma -
Fort Scott Sr High School
Fort Scott, KS05-2011
Associate of Arts -
Fort Scott Community College
Fort Scott, KSSkills
- Claims review
- Coverage determination
- Transactions reconciliation
- Data entry and organization
- Problem-solving skills
- Attention to detail
- Team collaboration
- Effective communication
- Team leadership
- Customer support
- Prioritization skills strategies
Timeline
Claims Adjuster
Clarity Performance Solutions
02.2023 - Current
Childcare Provider
Self Employed
04.2018 - 01.2023
Claims Processor
Firstsource Solutions
07.2012 - 04.2018
Assistant Manager
Hibbett Sporting Goods
05.2011 - 06.2012
High School Diploma -
Fort Scott Sr High School
Associate of Arts -
Fort Scott Community College