To secure a position in this organization where I can enhance my skills and contribute to the growth of the organization.
Overview
22
22
years of professional experience
Work History
Claims Representative
Sagesure
10.2023 - Current
Assists customers with filing new insurance claims and follow up of exisiting claims via phone, email and chat.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Developed rapport with customers through active listening skills.
Maintain accurate and organized records of claims interactions
Investigated and resolved customer inquiries and complaints quickly.
Provide credible guidance and assistance to customers regarding claim handling procedures
Handle multiple tasks while meeting established service requirements and standards.
Salvage Representative
GEICO
06.2019 - 10.2023
Received inbound calls from customers inquiring about a vehicle that has been deemed a total loss.
Place outbound calls to customers to advise them of the next steps in the claim process of their total loss vehicle. Also place outbound calls to banks, finance companies and dealerships to obtain payoff information regarding total loss vehicles.
Obtain necessary documents to process total loss claims from customers, banks, finance companies, and dealerships.
Issue settlement payments to banks, finance companies, dealerships, and customers.
Fax, email and mail out letters and documents, that are necessary to process claims, to all parties involved.
Make contact with different department to obtain necessary documents in order to process claim efficiently
Researched missing and/or incorrect title paperwork and determined proper resolve in a timely manner.
Navigation Specialist
Navicent Health
02.2018 - 06.2019
Check patients in and out of Urgent care. Schedule appointments.
Verify demographic information.
Obtain health insurance information and verify active coverage as well as copays amount.
Check patients out in and out. Assemble and break down charts.
Collect copays and coinsurance due, Set up future payment arrangement, Online posting of credit card payments.
Answer multiline phone and transfer calls to different departments.
Dispense information to patients and answer questions regarding the facility and its service
Patient Intake Coordinator
MyIdealDoctor
05.2013 - 02.2018
Receive inbound calls from patients requesting a consult from the doctor.
Place outbound calls to follow up with patients who received a consult from the doctor.
Assist members with any technical issues they may experience with company website.
Answer patients question by telephone or email.
Enter new patient information into system
Develop an assessment of the patient's problem based on an over the phone conversation with the patient.
Use clinical judgment, knowledge, and experience to make the decision to schedule an over the phone patient consult with doctor or refer patient to seek immediate medical attention.
Maintain spreadsheet with patient's initial complaint, doctor's diagnosis and treatment plan, and follow up care information.
Process credit card payments for consult fee
Patient Accounts Representative
Archbold medical Center
01.2006 - 08.2012
Responsible for the timely submission of all Electronic and Hardcopy billing of UB92/1500 claims
Coordinated with different departments to obtain all necessary information to ensure the accuracy and completeness of the information contained on UB92/1500 claim forms.
Ensured the prompt collection of primary and secondary insurance through multiple computer systems utilized by the Patient Financial Service Department.
Resolved billing and collection problems, denials and underpayments.
Worked with insurance companies, federal and state agencies, and patients to resolve all account balances
Knowledge of medical terminology.
Registration Officer
Archbold medical Center
10.2003 - 12.2005
Obtained demographic and insurance information for preregistration/registration on all patients
Experience with insurance verifications, prior authorizations
Answered telephones, and directed calls to appropriate staff
Used software applications to prepare reports and receipts.
Education
Associate Degree - undefined
Darton College
Albany, GA
Skills
Exemplify above average stress tolerance
Excellent verbal and written communication skills
Advanced knowledge of customer service principles and practices