Summary
Overview
Work History
Education
Skills
Timeline
Generic

Emma Harrell

Lakeland

Summary

Experienced with evaluating claims for accuracy and compliance. Utilizes strong organizational skills and attention to detail to process claims efficiently. Track record of effectively communicating with clients and stakeholders to resolve claims disputes.

Diligent Claims Representative with solid background in processing and managing claims efficiently. Adept at assessing coverage and liability, and resolving complex claims issues. Proven ability to utilize strong analytical and communication skills to deliver exceptional service.

Overview

2
2
years of professional experience

Work History

Med Tech

Hawthorne Inn Assisted Living Community
08.2024 - Current
  • Handled sensitive patient information with confidentiality while upholding HIPAA regulations at all times.
  • Measured patient vital signs such as blood pressure, pulse rate, and temperature to record information on patients' charts.
  • Assisted physicians and nurses in performing diagnostic tests and procedures to identify accurate treatment for patients.
  • Performed patient service duties by communicating directly with patients, answering questions, and assisting with concerns.
  • Administered medications and performed basic and advanced patient assessments.

Claims Adjuster

Division Of Family And Children Services
01.2024 - 08.2024
  • Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
  • Prepared summaries of damage, payments, and policy coverage.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
  • Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
  • Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.

Eligibility Specialist

Division Of Family And Children Services
01.2024 - 08.2024
  • Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
  • Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
  • Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
  • Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
  • Resolved discrepancies with client applications to verify eligibility.
  • Maintained detailed records of client interactions, ensuring accuracy and confidentiality of sensitive information.

CNA

Springhill Village
01.2023 - 08.2024
  • Assisted patients with daily living activities, promoting independence and dignity.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
  • Enhanced patient satisfaction by providing compassionate and attentive care.
  • Maintained confidentiality of patient information according to HIPAA guidelines while communicating effectively with team members about critical updates.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Utilized proper body mechanics and assistance devices when transferring patients, minimizing the risk of injury for both parties.
  • Ensured prompt response to call lights, addressing patient needs in a timely manner.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Prevented bedsores by regularly repositioning patients and implementing proper wound care techniques.
  • Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
  • Provided emotional support for patients during challenging times, fostering a positive healing environment.

Education

High School Diploma -

Booker T. Washington
Terre Haute, IN
2017

Skills

  • HIPAA regulations
  • Direct patient care
  • Patient interaction
  • Immunohistochemical testing
  • Patient vital taking
  • Maintaining equipment
  • Medical record documentation
  • Patient monitoring
  • Sterilization techniques
  • Specimen handling
  • Patient assessments
  • Infection control protocols
  • Blood bank operations
  • Sanitation procedures
  • Microsoft office
  • Insurance claims review
  • Claims investigation
  • Time management
  • Team collaboration
  • Data analysis
  • Coverage determination
  • Accident investigations

Timeline

Med Tech

Hawthorne Inn Assisted Living Community
08.2024 - Current

Claims Adjuster

Division Of Family And Children Services
01.2024 - 08.2024

Eligibility Specialist

Division Of Family And Children Services
01.2024 - 08.2024

CNA

Springhill Village
01.2023 - 08.2024

High School Diploma -

Booker T. Washington

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