Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
6
6
years of professional experience
Work History
State Farm Insurance
Claims Specialist
10.2022 - Current
Works well in team setting, providing support and guidance.
Excellent communication skills, both verbal and written.
Investigate each claim, evaluating, settling, and documenting each claim.
Answering high call volume, inbound calls and completing outbound to move each claim to it's furthest point
Effectively managing work through task driven queues while multi-tasking in fast-paced call center environment
Assistant Manager of Case Management Department
St. John's Riverside Hospital
01.2019 - 09.2022
Maintain quality customer service during high demand of patients and claim handling
Assisted in organizing and overseeing assignments to drive operational excellence.
Supervised day-to-day operations to meet performance, quality and service expectations.
Leveraged data and analytics to make informed decisions and drive business improvements.
Medical Secretary/Receptionist
Pulmonary Disease Group of Westchester
11.2017 - 01.2019
Greeted and provided positive customer service during high call volume
Scheduled all patient appointments/ Infusion appointments, answer phones, received and distribute faxes throughout four physicians
Verifying claims Insurance Information, demographics, authorization’s with x-rays/images to insurance companies that required approval before starting treatment and maintain up to date information
Education
Associate Degree of Medical Administration -
Monroe Collage
Bronx, NY
05.2016
Skills
Knowledgeable/proficient Insurance claims, medical billing/coding, strong written and communication skills
Serves as trusted, reliable, and consistent team member, offering unique tangible and intangible competencies
Possesses time management skills; ability to take initiative and independent action within prescribed limits
Applies critical thought and deliberate action to resolve complex problem set
Employs mastery of Microsoft office programs
Timeline
State Farm Insurance
Claims Specialist
10.2022 - Current
Assistant Manager of Case Management Department
St. John's Riverside Hospital
01.2019 - 09.2022
Medical Secretary/Receptionist
Pulmonary Disease Group of Westchester
11.2017 - 01.2019
Associate Degree of Medical Administration -
Monroe Collage
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