Jasmine Wesley
Bishopville,SC
Summary
Organized and detail-oriented claims associate with vast experience. Strong record of processing high volume claims while maintaining accuracy. Seeking to obtain a position where my skills and experience will be utilized.
Overview
11
11
years of professional experience
Work History
Claims Associate
Wimmer Solutions
2023.06 - Current
- Reviewed and researched claims to ensure accuracy
- Manually entered and adjudicated claims
- Processed claims according to company standards
- Completed special projects
- Maintained standards with little to no errors
Eligibility Representative
Cigna
2021.09 - 2023.03
- Performed medical/pharmacy benefits verification requiring complex decision making based on payer and process knowledge
- Prepared and reviewed claims to ensure accuracy
- Contacted benefit providers to gather policy benefits/limitations
- Researched and resolved issues impacting referral turn around time
Customer Service Representative
Verizon
2018.05 - 2021.06
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Responded to customer requests for products, services, and company information
- Operated as a credit specialist while processing credit applications in a timely manner
- Processed payments and payment arrangements
Claims Processor
Blue Cross Blue Shield
2013.08 - 2017.05
- Processed medical insurance claims
- Performed data entry
- Reviewed claims submissions and verified information
- Reviewed outstanding requests and redirected workloads to complete projects on time
- Prepared insurance claims forms and reviewed for completeness
Education
Associates Degree in Business Management -
Fortis College
03.2016
Skills
- Data Analytics
- Medical billing
- ICD-10
- Microsoft Office (Excel, Powerpoint)
- Research
- Medical Terminology
- Data entry
- Customer service
Timeline
Claims Associate
Wimmer Solutions
2023.06 - Current
Eligibility Representative
Cigna
2021.09 - 2023.03
Customer Service Representative
Verizon
2018.05 - 2021.06
Claims Processor
Blue Cross Blue Shield
2013.08 - 2017.05
Associates Degree in Business Management -
Fortis College