Eryn Gilmore
Marion,OH
Summary
Dynamic and detail-oriented professional with a proven track record at OPOC in enhancing patient advocacy through meticulous documentation and legal support.
Excelled in fraud prevention at Barclays, showcasing exceptional analysis skills and a commitment to excellence. Proficient in Microsoft Office and Salesforce, with a knack for fostering positive outcomes and customer satisfaction. Knowledgeable loan processor bringing several years of experience in banking and financial positions. Highly skilled in working well with people of all backgrounds to complete loan packages. Adept at building loyalty and trust between bank and customer.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Healthcare Advocate
OPOC
Worthington, OH
11.2024 - Current
- Participated in legal proceedings to support patient claims when required.
- Promoted effective teamwork within medical teams to achieve superior patient results.
- Ensured correctness in maintaining logs for client exchanges, updates on progress, and medical documentation.
- Collaborated with team members to enhance workplace productivity.
- Utilized various software and tools to streamline processes and optimize performance.
- Managed paperwork involved in medical claims including pre-certifications, authorizations, and referrals.
- Responded promptly to emails, voicemails, and faxes from customers seeking assistance or advice.
Back Office Dispute Advisor
Barclays
Cincinnati, OH
06.2022 - 07.2024
- Company Overview: Cincinnati, OH
- Demonstrated respect, friendliness and willingness to help wherever needed
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity
- Utilized TSYS, VROL, and MCOM to process manual chargebacks for cardholders
- Effectively used Salesforce for updating cardholder personal information as well as run multiple workflows to assist cardholders with lost and stolen account information
- Able to work within a virtual desktop and manage programs outside the virtual desktop simultaneously
- Maintained personal Excel tracker showing daily and monthly productivity
- Proved successful working within tight deadlines and fast-paced atmosphere
- Cincinnati, OH
Disability Claims Specialist
Sedgwick Claims Management
Hilliard, OH
10.2021 - 05.2022
- Company Overview: Hilliard, OH
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records
- Reviewed new files to determine current status of injury claim and to develop plan of action
- Examined claims forms and other records to determine insurance coverage
- Maintained claims data in JURIS and TAMS systems
- Ordered medical information to complete short term disability files for payment
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues
- Processed 20-25 new disability claims daily
- Hilliard, OH
Auto Claims Adjuster
Hagerty Insurance
Columbus, OH
03.2021 - 10.2021
- Company Overview: Columbus, OH
- Examined claims forms and other records to determine insurance coverage
- Answered questions posed by insured and attorneys
- Maintained claims data in three systems
- Evaluated insurance policies and analyzed damages to determine coverage
- Prepared summaries of damage, payments and policy coverage
- Answered customer questions regarding deductibles
- Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims
- Organized, planned, and documented materials for automotive claims
- Examined photographs and surveillance and any other documents relating to claims
- Issued payouts to claimants
- Documented all findings in concise reports
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes
- Answered over 30 calls from members daily
- Columbus, OH
Communications Specialist I
MedFlight
Columbus, OH
01.2020 - 02.2021
- Company Overview: Columbus, OH
- Handled inbound contacts and provided customer service according to departmental policies and procedures
- Received public emergency and non-emergency calls and supervised response prioritization in order to effectively dispatch official units such as police, fire and EMS while tracking data in real-time environments
- Established client rapport by interfacing with callers to aid with medical emergencies
- Handled approximately 70-100 calls per shift for three different emergency transport companies
- Routed calls to fire and ambulance service to meet individual call needs
- Answered calls from automatic routing system and took basic information from callers
- Read system maps and caller information, and documented all details in system
- Relayed latest information to first responders via electronic means, telephone calls and radio responses
- Columbus, OH
Loan Operations Specialist
BMI Federal Credit Union
Dublin, OH
06.2015 - 02.2020
- Company Overview: Dublin, OH
- Responsible for balancing and maintaining Excel spread sheet
- Reports directly to VP of Lending
- Responsible for funding and distribution of loan proceeds to car dealerships and members
- Adhered to security and audit procedures
- Researched and resolved customer issues on personal savings, checking and lines of credit accounts
- Examined checks for identification and endorsement
- Entered member transaction data into online banking software
- Processed treasury, tax and loan payments
- Delivered prompt, accurate and excellent customer service
- Maintained confidentiality of bank records and client information
- Handled various accounting transactions
- Processed over 3 million dollars of indirect vehicle loans in 2019
- Dublin, OH
Registered Respiratory Therapist
Mount Carmel St. Ann's
Westerville, OH
04.2010 - 04.2012
- Company Overview: Westerville, OH
- Charted and recorded information in client files
- Documented all patient information including service plans, treatment reports and progress notes
- Guided clients in understanding illnesses and treatment plans
- Recorded patients' medical history, vital statistics and test results in medical records
- Delivered high-quality and compassionate treatment to indigent and low-income patient community
- Managed 20-30 patients treatments depending on patient census
- Westerville, OH
Education
Associate of Science - Respiratory Therapy
Columbus State Community College
Columbus, OH05-2010
Certification - Medical Assistant And Office Management
MedCertify
Skills
- Energetic work attitude
- Detail-oriented
- Microsoft Office Proficiency
- Data entry
- Coverage assessments
- Insurance coverage verification
- Understanding of medical terms
- Proficient Task Management
- Documentation abilities
- DocuSign
- Salesforce
- Financial services
- Computer skills
- Communication skills
- Medical records
- Banking
- Analysis skills
- Fraud prevention and detection
Certification
- RRT
- Driver's License
- CPR and First Aid Certified
- Notary
References
References available upon request.
Timeline
Healthcare Advocate
OPOC
11.2024 - Current
Back Office Dispute Advisor
Barclays
06.2022 - 07.2024
Disability Claims Specialist
Sedgwick Claims Management
10.2021 - 05.2022
Auto Claims Adjuster
Hagerty Insurance
03.2021 - 10.2021
Communications Specialist I
MedFlight
01.2020 - 02.2021
Loan Operations Specialist
BMI Federal Credit Union
06.2015 - 02.2020
Registered Respiratory Therapist
Mount Carmel St. Ann's
04.2010 - 04.2012
Associate of Science - Respiratory Therapy
Columbus State Community College
Certification - Medical Assistant And Office Management
MedCertify
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