Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Jennifer Gjemse

Hastings,MN

Summary

Accomplished professional with a proven track record at BlueCross BlueShield Of MN, enhancing operational efficiency and customer satisfaction. Expert in customer service and problem-solving, I have significantly reduced claim processing times and mentored teams towards excellence. Demonstrates unparalleled work ethic, integrity, and a results-driven approach, ensuring high-quality outcomes in fast-paced environments. Friendly and reliable cashier offering unmatched customer service and workplace focus. Quick and accurate in cash and card transactions with excellent multi-tasking aptitude.

Overview

27
27
years of professional experience

Work History

Cashier

Gertens
07.2014 - Current
  • Greets customers and responds promptly to customer needs.
  • Assists customers with inquiries and provides exceptional service, resulting in positive feedback from shoppers.
  • Mentors new employees on cashier duties and best practices, improving overall staff performance.
  • Works flexible schedule and extra shifts to meet business needs.
  • Operates cash register for cash, check, and credit card transactions with excellent accuracy levels.

Reimbursement Specialist

Innovation Medical Group
01.2024 - 05.2024
  • Provided exceptional service when responding to doctors and providers inquiries about chart review and procedures.
  • Assisted in reimbursement appeals, recommending process improvements to minimize future occurrences.
  • Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
  • Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.

Operational Performance Analyst

BlueCross BlueShield Of MN
08.2007 - 07.2023
  • Proactively identified potential risks within projects via thorough risk assessment activities, mitigating negative impacts on project outcomes.
  • Conducted comprehensive gap analyses to identify areas of opportunity and drive continuous improvement efforts.
  • Evaluated current processes to develop improvement plans.

Auditor Specialist

BlueCross BlueShield Of MN
07.2005 - 08.2007
  • Provided detailed documentation on claim audit findings, facilitating swift corrective action when necessary.
  • Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
  • Planned and executed follow-up audits at appropriate intervals.

Technical Specialist

BlueCross BlueShield Of MN
06.2003 - 07.2005
  • Created and maintained reporting for management.
  • Delegated work evenly to my team.
  • Mentored team members in changing workloads.
  • Developed workflows and training material to assist staff needing additional support.
  • Performed random auditing on staff to maintain quality control.

Claims Examiner

BlueCross BlueShield Of MN
06.2002 - 06.2003
  • Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.

Claims Adjuster

BlueCross BlueShield Of MN
09.1999 - 06.2002
  • Researched and analyzed policy contracts to verify proper payment of claims.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.

Provider Services Representative

BlueCross BlueShield Of MN
04.1997 - 09.1999
  • Managed a high volume of incoming calls for medical providers seeking information or assistance.
  • Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
  • Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.

Education

No Degree - General Studies

Normandale Community College
Minneapolis, MN

No Degree - Nursing

Dakota County Technical College
Rosemount, MN

High School Diploma -

Farmington High School
Farmington, MN
1994

Skills

  • Customer Service
  • Customer Assistance
  • Work Ethic and Integrity
  • Patience and Empathy
  • Reliability and punctuality
  • Problem-Solving

Additional Information

I started culminating my excellent customer service at the age of 6. My family farmed and my siblings and I were given the task of selling sweet corn off an old kitchen table at the end of our driveway. As years went on, customers began asking for other vegetables and our mom was able to supply some from our large garden behind our house. Mom and Dad evolved their budding business by building makeshift greenhouses, starting vegetable plants from seed, planting in black plastic with drip tape, and expanding the vegetables we offered. All of us, kids included, were required to participate. Our small operation from the old kitchen table was updated to a vegetable stand and eventually the driveway was too small, so the stand was moved across the street to our farm. I was painfully shy so Dad would insist that I would be the one to watch the vegetable stand if we needed to pick produce a second time during the day. I became quite good at it. Customers enjoyed my calm and kind demeanor and I found satisfaction in helping people find what they needed. By the time I was a teenager, the business had expanded to include selling plants and flowers in the spring, vegetables and sweet corn in the summer, and pumpkins,squash and gourds in the fall with a small petting zoo of young farm animals. Not too many years ago, the business had to close due to Dad's age and his difficulty getting on the tractor. I'm bringing all of this up because I know what hard work is, nobody my age has the customer service experience that I do, and I fully understand the dedication it takes to run a family business.

Timeline

Reimbursement Specialist

Innovation Medical Group
01.2024 - 05.2024

Cashier

Gertens
07.2014 - Current

Operational Performance Analyst

BlueCross BlueShield Of MN
08.2007 - 07.2023

Auditor Specialist

BlueCross BlueShield Of MN
07.2005 - 08.2007

Technical Specialist

BlueCross BlueShield Of MN
06.2003 - 07.2005

Claims Examiner

BlueCross BlueShield Of MN
06.2002 - 06.2003

Claims Adjuster

BlueCross BlueShield Of MN
09.1999 - 06.2002

Provider Services Representative

BlueCross BlueShield Of MN
04.1997 - 09.1999

No Degree - General Studies

Normandale Community College

No Degree - Nursing

Dakota County Technical College

High School Diploma -

Farmington High School
Jennifer Gjemse