DIASIA BANKS
Ocean Springs,MS
Summary
Proven record of facilitating support services and managing fast-paced office operations. Strong organizational and communication skills with the ability of concurrently direct multiple business affairs. A multitude of versatile skills transfer into any administrative setting to create and maintain high levels of efficiency and productivity. Advanced understanding of customers needs with diligent attention to detail resulting in superior customer service and high levels of client satisfaction. Trusted consultant, liaison, and assistant dedicated to expanding my abilities and successfully impacting your company.
Overview
7
7
years of professional experience
Work History
Property Desk Adjuster/Claims Examiner
CRAWFORD & COMPANY INC
10.2022 - Current
- Evaluated insurance policies and analyzed damages to determine coverage.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments and policy coverage.
- Write/Prepare estimates
- Answered customer questions regarding deductibles.
- Maintained claims data in NEXTGEN, Xactimate, XactAnalysis, and CPT systems.
- Drafted investigative reports covering phases of investigation in each case.
CUSTOMER SERVICE REPRESENTATIVE
AT&T Mobility
09.2020 - 09.2022
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service
- Maintained knowledge of current promotions, exchange guidelines, payment of policies, and security practices
- Upheld quality control policies and procedures to increase customer satisfaction
- Asked probing questions to determine service needs and accurately input information into electronic systems
- Developed strong customer relationships to encourage repeat business
- Explained bene ts, features and recommendations to maximize client retention
- Set up and activated customer accounts
- Exceeded company productivity standards on consistent basis.
- Assisted with mentoring new employees during and after training.
Preauthorization/ Patient Access Representative
Gulfport Memorial Hospital
08.2017 - 09.2020
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Communicated with insurance companies to obtain pre-authorizations for treatment.
- Served as a liaison between patients, providers, insurers, and support services, facilitating clear communication and coordination of care.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
- Answered incoming calls, scheduled appointments and filed medical records.
Education
Associate of Science - Business Management of Applied Technology
Mississippi Gulf Coast Community College
Perkinston, MS05.2019
Skills
- Customer relation/satisfaction
- Expert in Microsoft Office (Word, Excel, PowerPoint)
- Inbound and outbound calling
- Organizational standards
- Great Leadership skills
- Multitasking skills
- Quick problem solver
- Settlement Negotiation
- Claim Validity Determination
- Insurance Policy Coverage Knowledge
- Deductible Collection
- Report Writing
- De-Escalation Techniques
- Registration and Admissions
- Medical Terminology
- Medical Billing
- Administrative and Office Support
- Phone and Email Etiquette
Timeline
Property Desk Adjuster/Claims Examiner
CRAWFORD & COMPANY INC
10.2022 - Current
CUSTOMER SERVICE REPRESENTATIVE
AT&T Mobility
09.2020 - 09.2022
Preauthorization/ Patient Access Representative
Gulfport Memorial Hospital
08.2017 - 09.2020
Associate of Science - Business Management of Applied Technology
Mississippi Gulf Coast Community College