Franklyn Gippleh
Springfield,IL
Summary
Results-driven professional with extensive experience in claims analysis and processing at State Farm. Proven track record of enhancing customer satisfaction through effective resolution of complex claims issues. Expertise in project and document management, leading to improved workflows and strong interdepartmental relationships. Highly organized and proactive in managing multiple tasks with minimal oversight, demonstrating excellent planning and problem-solving skills.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Claims Analyst Intern
All State
Springfield, IL
04.2023 - Current
- Boosted productivity by implementing new analytical strategies and identifying patterns in claims data.
- Addressed customer concerns promptly, providing clear explanations of claim decisions to enhance satisfaction.
- Streamlined workflows by implementing improvements to the claims management system for increased efficiency.
- Collaborated cross-functionally with finance and legal departments to ensure seamless claims processing.
- Enhanced productivity through innovative analytical strategies and pattern identification in claims data.
- Promptly addressed customer concerns, offering clear claim decision explanations to improve satisfaction.
- Implemented system improvements, streamlining workflows for higher efficiency in claims management.
- Facilitated cross-functional collaboration with finance and legal for seamless claims processing.
- Increased productivity by discovering patterns in claims data and applying new analytical methods.
- Improved customer satisfaction by resolving concerns swiftly and clarifying claim decisions effectively.
- Revised claims management system to streamline workflows, enhancing operational efficiency.
- Ensured seamless claims processing through cross-departmental collaboration with finance and legal.
Claims Analyst
State Farm
Springfield, IL
08.2021 - 02.2023
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Interacted with clients and employees, which helped cultivate positive working relationships.
Emergency Medical Services Asistsant
Illinois Department Of Public Health
Springfield, Illinois
01.2025 - Current
- Coordinated schedules and meetings for team members across multiple departments.
- Implemented efficient filing systems to enhance document retrieval and organization.
- Developed process documentation to improve workflows and operational efficiency.
- Assisted in preparing reports, presentations, and correspondence for management reviews.
- Organized and maintained comprehensive filing systems for documents and records.
Education
CPC CPMA - Medical Coding And Billing
Penn Foster Career School
Scranton, PASkills
- Claims analysis and processing
- Critical thinking
- Effective communication
- Project management
- Policy review and data interpretation
- Software proficiency
- Document management
Certification
Ccs cert
Timeline
Emergency Medical Services Asistsant
Illinois Department Of Public Health
01.2025 - Current
Claims Analyst Intern
All State
04.2023 - Current
Claims Analyst
State Farm
08.2021 - 02.2023
CPC CPMA - Medical Coding And Billing
Penn Foster Career School