Erica Mosby
Mishawaka,IN
Summary
Over 10 years of Customer Service experience in various job capacities within the insurance, healthcare and human resources industries. Highly skilled at multi-tasking, interpersonal communication and listening. Detailed oriented and client focused. Ability to work independently. Astute at learning new computer systems and tasks.
Overview
25
25
years of professional experience
Work History
Eligibility Specialist
Corporate Employment Resources
04.2022 - 04.2024
- Achieved and maintained a QA score of 90% and higher on case related tasks and inbound calls
- Handled high in-bound calls regarding recipients and applicants case and application status of eligibility
- Assisted applicants and recipients with questions, updates and complaints
- Escalated issues to appropriate departments
- Worked in a fast pace environment utilizing an automated system to determine eligibility for public assistance programs such as Medicaid, SNAP and Cash assistance
Case Investigator
Corporate Employment Resources
10.2020 - 03.2022
- Investigate and identify confirmed and suspected corona virus cases, also documenting potentially affected contacts
- Coordinating with public health and local facilities to support isolation and quarantine of individuals
Patient Account Rep
South Bend Clinic
06.2016 - 04.2020
- Collecting payments, setting up payment plants, answering patients questions regarding their bill
- Contacting insurance companies regarding medical cpt coding discrepancies
- Inbound calls from patients regarding their bill
- Interpersonal communication with various leaderships within the company, doctors, nurses, coders and members of the reimbursement dept
- Providing basic administrative tasks related to patient accounts
Human Resources Benefits Support
PeopleLink Staffing (Temporary)
04.2016 - 05.2016
- Entered new and current employees personal benefits into company’s database
- Assisted Benefits Coordinator with FMLA requests and tracked termed benefits
- Maintained personnel files
- Coordinated all documentation & communication regarding employee changes-New Hires and Employee Transfer paperwork ¬ifications
Human Resources Assistant Support
PeopleLink Staffing (Temporary)
06.2015 - 07.2015
- Maintained personnel files (Actives &Terms)
- Updated payroll benefit deductions in HRIS System(ECI)
- Assisted weekly recruiting open interviews (Applicant /Review)
- Audited I-9 files (Active &Terms)
- Exposed to employee relations matters
- Data entry
Human Resources
South Bend Community School Corporation (Temporary)
04.2014 - 05.2015
- Processed new hire benefits
- Processed Section 125 - qualifying event paperwork
- Verified and processed health insurance and dental ID cards
- Managed Worker’s Compensation files
- Processed unemployment claims
Shared Benefits Coordinator
University of Notre Dame (Temporary)
11.2011 - 02.2012
- Entered employees vacation time into database
- Updated employees personal information
- Entered new and current employees personal benefits into database
- Notified hiring managers and other staff of clearance of background check
- Assisted with status changes and terminations
- Assisted with several audit reports (updating dependent dental & vision)
- Updated employees W2’s and tax deductions
- Assisted HR department with assign administrative tasks
Bodily Injury Claim Representative
Auto Club Group
10.2008 - 07.2009
- Evaluated the degree of liability through investigation
- Interview policyholder, claimants, witnesses to determine liability
- Set financial on injury claims
- Followed jurisdictional requirements and fair claim practicing
- Issued payments on settlements
Medical Payment Representative
Auto Club Group
09.2007 - 10.2008
- Processed medical payments for MedPay claims
- Confirmed insured facts and updated injury loss information
- Advised insureds of policy benefits, limits and exclusions
- Explained the claim process
- Reviewed each state’s law and specifics according to the policy
- Present at round tables to review potential fraudulent claims
- Contacted the insured and passengers every 30 days to follow up on injury status
Sr. Customer Claims Auto Representative
Liberty Mutual
08.2006 - 04.2007
- Investigated claims using police and other reports to validate loss and liability
- Communicated with the customers throughout claims process
- Documented all claim activity
- Worked with auto physical damage appraisers to negotiate damage settlements
Customer Information Representative
Liberty Mutual
08.1999 - 01.2006
- Generated first reports (Worker Compensation, General Liability, Asbestos claims) from commercial policyholders from a faxed queue
- Submitting generated first reports to appropriate handling branch office
- Assisted department with other assign administrative duties
Education
Bachelor of Science - General Studies
Indiana University South Bend
South Bend, IN12-2005
Associate of Arts - General Studies
Indiana University South Bend
South Bend, IN12-2005
Associate of Science - Labor Studies
Indiana University South Bend
South Bend, IN12-2005
Skills
- Administrative background
- Analytical skills
- Customer Service Oriented
- Confidentiality
- Problem-Solving
- Critical Thinking
- Flexibility
- Strong Communication
- Teamwork
- Capable of working in fast pace
- Remote Work
- Claim & Case Management
- Attention to Detail
- Computer Skills
- Phone Experience
- Human Services
- Medical Terminology
- Time management
- Interdisciplinary team
- Healthcare
Timeline
Eligibility Specialist
Corporate Employment Resources
04.2022 - 04.2024
Case Investigator
Corporate Employment Resources
10.2020 - 03.2022
Patient Account Rep
South Bend Clinic
06.2016 - 04.2020
Human Resources Benefits Support
PeopleLink Staffing (Temporary)
04.2016 - 05.2016
Human Resources Assistant Support
PeopleLink Staffing (Temporary)
06.2015 - 07.2015
Human Resources
South Bend Community School Corporation (Temporary)
04.2014 - 05.2015
Shared Benefits Coordinator
University of Notre Dame (Temporary)
11.2011 - 02.2012
Bodily Injury Claim Representative
Auto Club Group
10.2008 - 07.2009
Medical Payment Representative
Auto Club Group
09.2007 - 10.2008
Sr. Customer Claims Auto Representative
Liberty Mutual
08.2006 - 04.2007
Customer Information Representative
Liberty Mutual
08.1999 - 01.2006
Bachelor of Science - General Studies
Indiana University South Bend
Associate of Arts - General Studies
Indiana University South Bend
Associate of Science - Labor Studies
Indiana University South Bend
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