Jasmine Maize
Little Rock,AR
Summary
To secure a position that will allow me to utilize my education and work experience while gaining valuable experience in a team-oriented environment.
Overview
9
9
years of professional experience
Work History
Claims Supervisor
Arkansas Blue Cross Blue Shield
07.2024 - Current
- Review and process insurance claims for accuracy and completeness.
- Verify policyholder information, coverage, and claim eligibility.
- Investigate and resolve claim discrepancies or denials.
- Communicate with policyholders, healthcare providers, and other parties to gather necessary documentation.
- Ensure timely and compliant processing of claims in accordance with company guidelines and regulatory standards.
- Maintain accurate records and documentation in the claims management system.
- Identify potential fraud and escalate as needed.
- Collaborate with other departments to resolve complex claim issues.
Health Care Advisor
AR Blue Cross Blue Shield
08.2019 - 07.2024
- Answer inbound customer calls promptly and professionally.
- Assist policyholders with questions related to coverage, claims, billing, and account status.
- Document all customer interactions accurately in the system.
- Educate customers on policy features, processes, and available options.
- Resolve customer concerns or escalate complex issues to appropriate departments.
- Follow company guidelines, compliance standards, and privacy regulations (such as HIPAA if applicable).
- Maintain up-to-date knowledge of company products and services.
Customer Service Specialist
Dick's Sporting Goods
11.2017 - 01.2019
- Resolved customer concerns efficiently and expeditiously
- Emphasized customer service excellence through training of front-end team members
- Check, price, manage footwear area of the stock and merchandise.
- Assist with supervision of the footwear area and other areas as needed
- Direct on floor work assignments, leading and communicating company objectives to associates
Summer Intern- Mentor
City of Little Rock
05.2016 - 08.2018
- Provided administrative and organizational support to the Community Resources Manager and Department Director in the development and operation of the Summer Youth Employment program; facilitating meetings, assisting with summer training, and supervising over 60 interns, advising and counseling them during summer employment.
- Assisted management with evaluating program issues, performing research and analysis.
- Developed information about the program and the agency's policies, regulations, standards, and procedures.
- Prepared oral and written reports and presentations, graphs, and charts, presenting clear and effective analytical results of evaluations and research, providing strong recommendations for program improvements.
Education
Bachelor of Business Administration - Management Informational Systems
University of Central Arkansas
Conway, AR12.2018
Skills
- C programming
- SQL
- Oracle
- Java
- Python
- Astah Professional
- Eclipse
- Microsoft Office
- Computer Technology Support
- Database Design
Timeline
Claims Supervisor
Arkansas Blue Cross Blue Shield
07.2024 - Current
Health Care Advisor
AR Blue Cross Blue Shield
08.2019 - 07.2024
Customer Service Specialist
Dick's Sporting Goods
11.2017 - 01.2019
Summer Intern- Mentor
City of Little Rock
05.2016 - 08.2018
Bachelor of Business Administration - Management Informational Systems
University of Central Arkansas
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