Felicia Vaughn
Grand Prairie,TX
Summary
Seasoned collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills.
Overview
11
11
years of professional experience
Work History
Claims Clerk
UnitedHealth Group
10.2018 - Current
- Interacted with customers by phone, email, or in-person to provide information.
- Completed clerical tasks such as filing, copying, and distributing mail.
- Executed record filing system to improve document organization and management.
- Delivered clerical support by handling range of routine and special requirements.
- Maintained strict confidentiality when handling sensitive information, adhering to company policies regarding privacy protection.
- Managed daily data entry and kept clerical information accurate and up-to-date.
- Collaborated with various departments to complete assigned tasks.
Claims Quality Auditor
Humana
11.2012 - 12.2016
- Increased customer satisfaction rates through diligent oversight of claim handling standards, promoting a culture of excellence within the team.
- Enhanced claims processing accuracy by conducting thorough quality audits and providing feedback to claims examiners.
- Implemented effective coaching strategies to address identified areas of opportunity for individual claims representatives.
- Reduced claim overpayments with meticulous attention to detail in the review of policy coverages and benefits.
- Maintained up-to-date knowledge of industry regulations and changes, ensuring compliance within the organization''s claim handling procedures.
Education
Business Administration And Management
DCCCD
Dallas, TXCriminal Justice
Everest College
Dallas, TXSkills
- Claims Processing
- Data Entry
- Accuracy and Precision
- Clerical Support
- Filing systems
- Maintaining records
- Customer Service
- Mail Sorting and Distribution
- Regulatory Compliance
- Teamwork and Collaboration
Timeline
Claims Clerk
UnitedHealth Group
10.2018 - Current
Claims Quality Auditor
Humana
11.2012 - 12.2016
Business Administration And Management
DCCCD
Criminal Justice
Everest College
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