Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Tammy Lee

Federal Way,WA

Summary

Combined experience in a fast paced environment demanding strong organizational, technical, and interpersonal skills. Recognized as resilient and well-versed in behavior techniques, creative problem resolution, and owning responsibilities for all duties.

Overview

40
40
years of professional experience

Work History

Sr. Claims Analyst

Regence BlueShield
12.1991 - 10.2024
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Focused on accuracy to ensure consistent application of insurance policy to customer and provider medical claims.
  • Maintained strict confidentiality with all personal data as per company guidelines
  • Trained new coworkers on how to process claims according to members benefits and providers' contracts.
  • Assisted members and providers with the appeal processes.
  • Responded to correspondence from insurance companies.
  • Researched and resolved complex medical claims issues to support timely processing.

Shift Manager

McDonald's
02.1985 - 10.1991
  • Excelled in every store position and regularly backed up front-line staff.
  • Adhered to company standards and compliance requirements for operations and cleanliness of areas.
  • Supervised employees and oversaw quality compliance with company standards for food and services.
  • Tracked receipts, employee hours, and inventory movements.
  • Exercised composure under pressure and in escalated customer service scenarios.
  • Kept employees operating productively and working on task to meet business and customer needs.
  • Tracking and ordering products.

Education

No Degree - Continuing Education

Edmonds Community College
Lynnwood, WA

High School Diploma - Basic Studies/CNA Certificate

Bothell Sr. High
Bothell, WA
06-1987

Skills

  • Medical Terminology
  • Medical terms and procedure knowledge
  • Policy Interpretation
  • Claims review
  • Dispute tracking
  • Document workflow
  • Skilled in Facets and Mainframe
  • ICD Codes
  • Knowledgeable in Microsoft Applications
  • HIPAA

Accomplishments

  • 30-year Longevity award
  • 25-year Longevity award
  • Team Leader Award-Consistently trained and helped new employees.

Timeline

Sr. Claims Analyst

Regence BlueShield
12.1991 - 10.2024

Shift Manager

McDonald's
02.1985 - 10.1991

No Degree - Continuing Education

Edmonds Community College

High School Diploma - Basic Studies/CNA Certificate

Bothell Sr. High

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Tammy Lee