Gabrielle Jumbo
Rock Point,AZ
Summary
Detail-oriented Claims Specialist II with proven skills in claims processing, data analysis, and effective negotiation. Experienced in conducting audits and resolving complex disputes, contributing to reduced error rates and enhanced compliance.
Overview
18
18
years of professional experience
Work History
Claims Specialist II
Modivcare
Phoenix, AZ
12.2017 - Current
- Resolved complex claim disputes through effective negotiation and communication with stakeholders.
- Resolved complex claim disputes through effective negotiation and communication with leadership.
- Analyzed claims data to identify trends and inaccuracies, ensuring compliance with company policies.
- Conducted audits of claims files to ensure accuracy, reducing error rates in processed claims significantly.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
Order Picker
Walgreens Distribution Center
Flagstaff, AZ
06.2008 - 03.2015
- Operated warehouse equipment to efficiently pick and stage products for shipment.
- Collaborated with team members to maintain accurate inventory levels and ensure order fulfillment.
- Implemented safety protocols that minimized workplace accidents and enhanced overall operational efficiency.
- Trained new staff on best practices for order picking and equipment operation, fostering a culture of safety and accuracy.
- Conducted regular quality checks on picked orders to ensure compliance with company standards.
- Collaborated with team members to ensure timely completion of orders during peak demand periods.
- Improved order accuracy by meticulously picking items according to the pick list and packing slip requirements.
- Performed proper lifting and handling techniques to maintain safe a working environment.
- Exceeded company expectations for order fulfillment speed and accuracy, consistently meeting or surpassing performance metrics.
- Maintained a clean, safe work environment by complying with established safety procedures and guidelines.
- Maintained strong working relationships with coworkers, contributing to a positive and supportive team environment within the warehouse.
- Pulled orders quickly to maintain demanding productivity goals.
- Took on extra hours and shifts during busy periods to meet tight shipping deadlines.
- Picked and packed order items.
- Kept work areas neat, clean and free from debris.
Education
Certified Pharmacy Technician - Certification
Carrington College
Albuquerque04-2017
High School Diploma -
Ronald C Bauer
Phoenix, AZ05-2002
Skills
- Claims
- Claims handling
- Claims analysis
- Eligibility determination
- Claims evaluation
- Information verification
- Data entry
- Data entry tools
- 10-key touch
- Task prioritization
- Verbal communication
- Data input
- Attention to detail
- Multitasking skills
- Numeric data entry
- Self-motivation
Timeline
Claims Specialist II
Modivcare
12.2017 - Current
Order Picker
Walgreens Distribution Center
06.2008 - 03.2015
Certified Pharmacy Technician - Certification
Carrington College
High School Diploma -
Ronald C Bauer