Open To Work
Jasmine Edwards
Grand Rapids,MI
Summary
Customer-focused professional with 10+ year background in customer service roles. Known for providing top-notch client support while maintaining high levels of customer satisfaction and loyalty. Strengths include exceptional communication, problem-solving skills, and ability to handle multiple tasks simultaneously. Proven track record of consistently improving operational processes to enhance the overall customer experience.
Overview
8
8
years of professional experience
Work History
Medical Claims Analyst
Catalyst Solutions
Grand Rapids, MI
09.2022 - 02.2026
- Analyzed medical claims for accuracy and compliance with company policies.
- Reviewed patient information to ensure proper documentation and coding accuracy.
- Resolved discrepancies by investigating claims and collaborating with healthcare providers.
- Enforced compliance with HIPAA privacy laws when dealing with sensitive information.
- Researched and resolved billing discrepancies, coding issues, and other payment problems.
- Interpreted complex medical policies and procedures to determine coverage eligibility.
- Provided customer service support by responding to inquiries from members, providers, employers, and insurance carriers.
Processing Specialist / Quality Assurance
TGG Solutions
Grand Rapids, MI
12.2019 - 09.2022
- Managed insurance policy changes, member enrollment, and benefit updates.
- Coordinated with team members to streamline processing workflows efficiently.
- Assisted in training new employees on processing protocols and procedures.
- Assisted customers with inquiries regarding their accounts, transactions, and payment statuses.
- Communicated by telephone, email and chat for routine exchange of information.
- Coordinated with customers to resolve problems regarding process discipline, data accuracy and data integrity.
- Transferred written information into databases to maintain consistent, accurate client records and project details.
- Utilized data entry systems to maintain accurate records and documentation.
- Answered customer inquiries and provided accurate information regarding products and services.
- Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
Customer Service Representative
Farmers Insurance Group
Caledonia, MI
03.2018 - 10.2019
- Handled high-volume inbound calls regarding claims and policy inquiries.
- Created detailed claim files and documented customer concerns for adjuster follow-up.
- Resolved customer complaints through effective communication and problem-solving skills.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
Education
Psychology -
Grand Valley State University
Allendale, MIHigh School Diploma -
Calvin Christian High School
Grandville, MISkills
- Claims Processing & Verification
- Customer Service & Client Support
- Policy Review & Compliance
- Conflict Resolution & Negotiation
- Call Center & Telecommunication
- Data Entry & Documentation Accuracy
- Quality Assurance & Process Improvement
- Claim auditing
- HIPAA compliance awareness
- Proficiency in QNXT, Javalina, OneBill, Prism, Salesforce, eMVP & eMCS
- Insurance verification
Work Preference
Location Preference
RemoteTimeline
Medical Claims Analyst
Catalyst Solutions
09.2022 - 02.2026
Processing Specialist / Quality Assurance
TGG Solutions
12.2019 - 09.2022
Customer Service Representative
Farmers Insurance Group
03.2018 - 10.2019
Psychology -
Grand Valley State University
High School Diploma -
Calvin Christian High School