Gena Rodely
Pinckneyville,IL
Summary
Experienced in claims processing with solid understanding of insurance procedures and regulations. Strengths include adept problem-solving skills, high level accuracy and comprehensive knowledge of claims management systems. Noted for consistently improving efficiency and reducing errors in previous roles.
Overview
23
23
years of professional experience
Work History
Claims Processor
So IL Laborers & Employers Health & Welfare
Marion , IL
05.2022 - Current
- Corresponded with providers regarding any missing or incomplete documentation needed for successful adjudication of claims.
- Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.
- Researched medical claims for validity to resolve discrepancies.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Participated in meetings with internal stakeholders regarding changes in policy, procedure, technology.
Loan Csr
First National Bank
Pinckneyville, Illinois
05.2020 - 05.2022
- Collected deposits or payments and arranged for billing.
- Surpassed sales goals through implementation of successful marketing strategies.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Ensured compliance with applicable laws and regulations for provision of services.
- Maintained records of customer interactions, transactions, comments and complaints.
Bank Teller
First National Bank
Pinckneyville, IL
02.2002 - 12.2006
- Received mortgage and other loan payments, verifying payment dates and amounts due.
- Ordered checks, placed stop payment orders and conducted additional special services for customers.
- Assisted customers with basic technical issues related to digital banking platforms.
- Fulfilled diverse duties to provide customer service, operate money counters, balance and replenish ATMs, maintain accounts and open new accounts.
- Maintained confidentiality of bank records and client information.
- Balanced daily cash deposits and vault inventory with zero error rate.
Education
High School Diploma -
Pinckneyville Community High School
Pinckneyville, IL05-1998
Skills
- Claims review
- Payments posting
- Transactions reconciliation
- Policy interpretation
- Billing software
- Insurance claim forms review
- Records management
- Account management software
- Claims preparation
- Payment and investigation escalations
- Microsoft office
- Investigation support
Timeline
Claims Processor
So IL Laborers & Employers Health & Welfare
05.2022 - Current
Loan Csr
First National Bank
05.2020 - 05.2022
Bank Teller
First National Bank
02.2002 - 12.2006
High School Diploma -
Pinckneyville Community High School