Jaylen Lindsey
Phenix City
Summary
Adept Claims Specialist with a proven track record at Blue Cross Blue Shield of GA, enhancing customer satisfaction and streamlining claims processes. Leveraged critical thinking and exceptional communication skills to resolve complex issues, significantly improving report timeliness. Expert in coverage assessments and dedicated to delivering superior customer service.
Overview
3
3
years of professional experience
Work History
Claims Specialist
Blue Cross Blue Shield of GA
01.2023 - 04.2025
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes
- Communicated with other departments to establish action plans and manage open claims to closure
- Documented specific claims by completing and recording forms, reports and logs
- Investigated and analyzed requirements to improve timeliness of reports to customers
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures
- Reviewed claims for accuracy before submitting for billing
- Sent clinical request and missing information letters to obtain incomplete information
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns
Manufacuring
Vectorply Corporation
02.2022 - 01.2023
- Organized and detail-oriented with a strong work ethic.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Proved successful working within tight deadlines and a fast-paced environment.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Set up and adjusted equipment and properly configured machines for daily operation.
- Operated various types of machinery, contributing to the successful completion of diverse projects.
Education
High School Diploma -
Central High School
Phenix City, AL05.2021
Skills
- Coverage Assessments
- Eligibility Determination
- Verbal and Written Communication
- Customer Service
- Data Entry
- Attention to detail
- Machinery operation
- Good communication
- Strong work ethic
- Appointment Scheduling
- Critical Thinking
Timeline
Claims Specialist
Blue Cross Blue Shield of GA
01.2023 - 04.2025
Manufacuring
Vectorply Corporation
02.2022 - 01.2023
High School Diploma -
Central High School
Similar Profiles
Kimberly SteedeKimberly Steede
Performance Quality Analyst at Anthem Blue Cross Blue Shield Of GAPerformance Quality Analyst at Anthem Blue Cross Blue Shield Of GA
Crystal BrownCrystal Brown
Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)
Heath WesenbergHeath Wesenberg
Business Support Analyst II at Florida Blue - Blue Cross Blue Shield Of FloridaBusiness Support Analyst II at Florida Blue - Blue Cross Blue Shield Of Florida
Ryan WulffRyan Wulff
Server at Saltcellar.Server at Saltcellar.
Carla TinnerelloCarla Tinnerello
Food & Beverage Manager at Wawa Inc.Food & Beverage Manager at Wawa Inc.