Hugh Quimby
4075 Arch Pass - Cumming,GA
Summary
Highly trained with a background in insurance benefits and verifying the required documentation from patients or providers, established Insurance Verification Specialist. Also have extensive experience in the Customer Service Industry. Seeking a position where I can develop professionally while applying my knowledge in dental insurance and customer service.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Appeals Specialist
Delta Dental Of California
2016.06 - Current
- Created, composed and maintained appeal response templates.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Generated, posted and attached information to claim files.
- Verified client information by analyzing existing evidence on file.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Bilingual Customer Service Representative
Delta Dental Of California
2012.08 - 2016.06
- Assisted customers with Spanish-language inquiries in a timely and professional manner.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Provided language translation services for customer service inquiries.
- Communicated with management when customer issues escalated and worked to find resolutions.
Bilingual Customer Service Representative
Humana
2002.10 - 2011.04
- Assisted customers with Spanish-language inquiries in a timely and professional manner.
- Actively listened to customers, handled concerns quickly, and escalated major issues to management.
- Provided language translation services for customer service inquiries.
- Utilized English or Spanish proficiency to build relationships with English or Spanish-speaking customers.
- Met all call quality standards and daily quotas for first-call resolution.
Customer CARE Representative (Executive Desk)
FedEx
1995.09 - 2002.02
- Monitor shipments for top 10 Accounts, providing daily status for time-sensitive/critical packages, customs requirements, and delivery information.
- Assist Customer Service Management with special assignments and projects.
- Prepare monthly performance and productivity reports.
- Respond to email inquiries from customers in Venezuela, Colombia, Bolivia, and Peru.
- Liaison for Customer Service and Sales Representatives, occasionally visiting top accounts with Sales Representative.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
Education
No Degree - Mathematics
Universidad Central De Venezuela
Caracas - VenezuelaHigh School Diploma -
Gustavo Herrera –
Caracas, Venezuela08.1987
Skills
- Claims Adjustments
- Client Communication
- Written Communication
- Filing Appeals
- Microsoft Office
- Regulatory Compliance Adherence
- Claims Preparation
- Great Mathematical Skills
Certification
Delta Dental - Certified translator and interpreter (English-Spanish)
Languages
English
Native or Bilingual
Spanish
Full Professional
Timeline
Appeals Specialist
Delta Dental Of California
2016.06 - Current
Bilingual Customer Service Representative
Delta Dental Of California
2012.08 - 2016.06
Bilingual Customer Service Representative
Humana
2002.10 - 2011.04
Customer CARE Representative (Executive Desk)
FedEx
1995.09 - 2002.02
No Degree - Mathematics
Universidad Central De Venezuela
High School Diploma -
Gustavo Herrera –
Delta Dental - Certified translator and interpreter (English-Spanish)
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