Cassandra Davis
Houston,TX
Summary
A hardworking and highly motivated professional with a passion for growth and efficiency. Eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging a seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven, with a focus on meeting company needs and increasing service value.
Overview
20
20
years of professional experience
Work History
Claims Specialist
Community Health Choice
2023.07 - Current
- Followed up with customers on unresolved issues.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Conducted risk evaluations on claims settlement proposals to encourage sound decision-making regarding settlement offers.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
Financial Aid Customer Support Specialist
Interfaith of the Woodlands
2017.07 - 2023.05
- Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts
- Maintained knowledge of company products to provide helpful suggestions and recommendations to customers
- Responded to telephone inquiries and complaints following standard operating procedures
- Complied with corporate and regulatory policies regarding information confidentiality and privacy
- Addressed customers courteously using suitable methods and problem-solving skills
- Maintained logs and documentation to detail key information regarding incoming and outgoing calls
- Assisted with training and mentoring new team members
- Developed and maintained working knowledge of internal policies, procedures, and services to appropriately address customer issues.
Administrative Clerk
Mouser Container Services
2010.01 - 2017.06
- Answered telephones to give information to callers, take messages, or transfer calls
- Sorted, distributed, and tracked incoming and outgoing mail
- Performed data entry and document scanning
- Checked in drivers and logged in driving times
- Obtained signatures for financial documents and internal and external invoices
- Developed numerous spreadsheets to track both incoming and outgoing orders
- Answered multi-line telephone system to direct calls and take messages
- Computed, record and proofread data and other information, such as records, and reports
- Managed calendars and arranged appointments.
Insurance Verification Specialist
Baylor College of Medicine
2004.08 - 2009.12
- Addressed and resolved issues identified by billing staff related to eligibility and coverage
- Answered questions from patients and clerical staff regarding coverage
- Completed tasks in claim edits and account work queues
- Verified insurance coverage and eligibility prior to appointments and procedures
- Register's patients verified insurance and pre-certifies outpatient and inpatient surgery's
- Generated patient-specific letters for insurance companies to ensure accurate reimbursement of services
- Scheduled tests and procedures for patients, such as lab work and x-rays, based on physician orders
- Maintained medical records, technical library, and correspondence files.
Education
ASSOCIATE in ARTS -
Lone Star College
Houston, TX05.2017
Skills
- Proofreading
- Administrative Experience
- Microsoft PowerPoint
- Microsoft Excel
- Problem-Solving Ability
- Organizational Skills
- Databases
- Customer Service Excellence
- Microsoft Word
- Insurance Verification
Assessments
- Customer focus & orientation, Proficient, 03/01/22
- Administrative assistant/receptionist, Proficient, 04/01/23
- Attention to detail, Proficient, 01/01/22
- Customer service, Proficient, 03/01/22
- Administrative assistant/receptionist, Proficient, 10/01/21
- Work style: Reliability, Proficient, 02/01/22
Personal Information
Willing To Relocate: Anywhere
Timeline
Claims Specialist
Community Health Choice
2023.07 - Current
Financial Aid Customer Support Specialist
Interfaith of the Woodlands
2017.07 - 2023.05
Administrative Clerk
Mouser Container Services
2010.01 - 2017.06
Insurance Verification Specialist
Baylor College of Medicine
2004.08 - 2009.12
ASSOCIATE in ARTS -
Lone Star College
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