Janice Nelson
St Louis,MO
Summary
Proven Claims Specialist with a robust background at Kelly Services, adept in computer skills and customer service. Excelled in evaluating and settling complex claims, enhancing process efficiency by 30%. Demonstrated exceptional decision-making and team-building abilities, ensuring seamless operations and client satisfaction.
Overview
5
5
years of professional experience
Work History
Claims Specialist
Kelly Services
11.2024 - Current
- Followed up with customers on unresolved issues.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Evaluated and settled complex insurance claims in strict timeframes.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Data Entry Clerk
Ciox Healthcare
07.2023 - Current
- Sorted documents and maintained organized filing process.
- Scanned documents and saved in database to keep records of essential organizational information.
- Completed data entry tasks with accuracy and efficiency.
- Organized, sorted, and checked input data against original documents.
- Corrected data entry errors to prevent duplication or data degradation.
Pharmacy Technician
Express Scripts
02.2020 - 11.2021
- Followed up with customers on unresolved issues.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Evaluated and settled complex insurance claims in strict timeframes.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
High School Diploma -
Jennings High School
St Louis, MO05.2011
Skills
- Customer service
- Computer skills
- Calm under pressure
- Team building
- Decision-making
Timeline
Claims Specialist
Kelly Services
11.2024 - Current
Data Entry Clerk
Ciox Healthcare
07.2023 - Current
Pharmacy Technician
Express Scripts
02.2020 - 11.2021
High School Diploma -
Jennings High School
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