HEATHER IRVIN
JEFFERSON CITY,MO
Summary
Result-oriented, intelligent, organized, and motivated individual is seeking an available management position within State Farm in an effort to utilize years of experience to fulfill the company's strategic requirements.
Overview
21
21
years of professional experience
Work History
Auto Claim Specialist, Injury Claim Specialist
State Farm Insurance
01.2011 - Current
- Prompt, accurate and thorough Investigation, evaluation, negotiation, and settlement of automobile property and injury claims
- Duties include verification of coverage, determination of legal liability, and identification of extent of damage to persons and property
- Successful history of achieving remarkable customer service at all contact, extensive knowledge of policies, procedures, laws, statutes and insurance regulations when determining coverage, liability, and property damage
- Worked in partnership with and provided instruction to claim associates and co-workers
- Volunteering for and assisting with special projects for management
- CPCU certification in progress.
Insurance Specialist
Wakefield & Associates
01.2019 - 01.2022
- Resolving medical insurance accounts for various clients around the country
- Working with insurance carriers, including Medicare and Medicaid, to process claims correctly for collection of benefits
- Research account denials and file written appeals, when necessary
- Ensure the integrity of each claim that is billed
- Review and interpret contractual terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation
- Promote patient and client satisfaction through professional interactions
- Remote position on this team working independently with focus, organization, time management skills and ability to work efficiently and independently.
Program Development Specialist
State of Missouri
01.2007 - 01.2011
- FAMIS Reports & Extracts Team
- Business analyst liaison between policy and IT staff in the creation of reports for the Family Assistance Management Information System (FAMIS)
- Specific duties included determining reporting needs and requirements to write technical specifications for reporting in compliance with Food Stamp and Medicaid policy guidelines
- Reviewed reports for accuracy and completeness and provided analysis to State and Federal Regulation Agencies and Legislature
- Other duties as required included creating and updating code tables and provide backup assistance for the Help Desk.
Case Analyst
State of Missouri, FAMIS
01.2004 - 01.2007
- FAMIS Help Desk
- Answer incoming calls from FAMIS end users (DSS Caseworkers, Supervisors and Program and Policy staff) across the state to assist with the automated application and case maintenance processes in FAMIS; identify and isolate problems, help end users to find solutions based on policy and system knowledge.
Family Support Eligibility Specialist
State of Missouri, Boone County Family Support Division
01.2003 - 01.2004
- Determine initial and continuing eligibility of clients for income maintenance programs such as food assistance, medical services, financial assistance, nutritional assistance and child care assistance through face to face interviews, telephone and written contact
- Assisted clients with locating services such as employment training and shelter within the community
- Job required a high level of customer service as well as familiarity with community assistance programs to assist clients transitioning to self sufficiency.
Education
Associate of Applied Science Degree - Medical Office Technology
Linn State Technical College
Linn, MOBachelor of Arts - Psychology, Sociology
Columbia College
Jefferson City, MO2019
Skills
- Complex Problem-Solving
- Issue and Conflict Resolution
- Policy Interpretation & Claims Evaluations
- Liability Determinations
- Time Management
- Regulatory & Recordkeeping Compliance
- Corporate Policies and Procedures
- Team Support
- Customer Interaction
- Strategic Initiatives
- Providing Feedback
- Knowledge Base
Additional Information
- Student Government Association, Vice President – Linn Tech Girl Scout Gold Award Recipient, Leader Photographer
Timeline
Insurance Specialist
Wakefield & Associates
01.2019 - 01.2022
Auto Claim Specialist, Injury Claim Specialist
State Farm Insurance
01.2011 - Current
Program Development Specialist
State of Missouri
01.2007 - 01.2011
Case Analyst
State of Missouri, FAMIS
01.2004 - 01.2007
Family Support Eligibility Specialist
State of Missouri, Boone County Family Support Division
01.2003 - 01.2004
Associate of Applied Science Degree - Medical Office Technology
Linn State Technical College
Bachelor of Arts - Psychology, Sociology
Columbia College
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