Summary
Overview
Work History
Education
Skills
Timeline
Generic

Edward Winston

Health Claim Specialist
Newark,Ohio

Summary

Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.

Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Overview

25
25
years of professional experience

Work History

Health Claim Processor

State Farm
01.2005 - Current
  • Communicates with policyholders, agency personnel, and medical providers
  • Performs Health Response Center claim functions for Medicare Supplement, Disability, Hospital Income, Basic Hospital Surgical and Long-Term Care
  • Serves as a technical resource for problem resolutions within the team

Auto Team Lead

State Farm
01.2005 - 06.2005
  • Reviewed processes, and made decisions regarding Auto insurance applications using risk-assessment tools in accordance with underwriting procedures, guidelines, and legislative requirements.
  • Makes decisions in a logical, reasonable, and fair manner regarding Auto insurance risk classification.
  • Served as a technical resource for agency and personnel

Continuous Improvement Specialist - Quality

State Farm
01.2001 - 01.2004
  • Call Monitoring – Assess training needs of department personnel, develops and facilitates classes
  • Conduct onsite and virtual calibration sessions for quality purpose
  • Projects and Committees including training.
  • Consulted with the Supervisors with problem solving, and research

Education

BBA -

Mount Vernon Nazarene University
01.2013

Certificate - undefined

Phillips Business College
01.1991

Skills

  • Microsoft Excel
  • Deadline driven
  • Continuous improvement
  • Data entry background
  • Research expertise
  • Customer service
  • Attention to detail
  • Research proficiency

Timeline

Health Claim Processor

State Farm
01.2005 - Current

Auto Team Lead

State Farm
01.2005 - 06.2005

Continuous Improvement Specialist - Quality

State Farm
01.2001 - 01.2004

Certificate - undefined

Phillips Business College

BBA -

Mount Vernon Nazarene University

Similar Profiles

CREATE PROFILE
Edward WinstonHealth Claim Specialist