Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennifer Goldade

West Fargo

Summary

Results-driven professional specializing in customer service and compliance. Proven experience in transaction processing and inventory management, enhancing operational efficiency in dynamic environments. Strong communication and time management skills contribute to team success. Committed to continuous learning and adaptability in facing new challenges.

Overview

2027
2027
years of professional experience

Work History

Claims Supervisor

Noridian Medicare
Fargo
2016 - Current
  • Mentored team members in claims adjudication and resolution procedures.
  • Supervised daily operations, ensuring efficient workflow and productivity across the team.
  • Developed and implemented operational plans, enhancing team performance and efficiency.
  • Conducted regular meetings to communicate updates and address team concerns.
  • Monitored performance metrics, identifying areas for process improvement initiatives.
  • Created performance reports and presented findings at monthly management meetings.
  • Fostered a positive work environment, boosting team morale and motivation.

Claims Analyst

Noridian Medicare
Fargo
2009 - 2016
  • Analyzed data discrepancies to detect potential fraud or errors.
  • Conducted claims audits, ensuring compliance with regulations.
  • Facilitated team meetings to discuss process improvements and updates.
  • Investigated claims by gathering evidence for resolution support.
  • Prepared detailed reports on claim status, payment history, and relevant information.
  • Engaged with internal departments and external vendors regarding disputed claims.
  • Analyzed claim data to identify trends and recommend process enhancements.
  • Participated in claims audit processes to uphold internal and external standards.

Operations Coordinator

Noridian Medicare
Fargo
2000 - 2009
  • Supported team in implementing compliance procedures for healthcare regulations.
  • Organized documentation for audits and compliance reviews effectively.
  • Coordinated daily operations activities and assigned tasks to staff members.
  • Conducted training sessions for new employees on operational procedures.
  • Managed communications between departments to ensure efficient operations.

Claims Processor

Noridian Medicare
Fargo
11.1997 - 2000
  • Processed Medicare claims accurately and efficiently for timely resolution.
  • Reviewed documentation to ensure compliance with Medicare regulations and guidelines.
  • Provided exceptional customer service to beneficiaries regarding claims inquiries.
  • Processed a high volume of incoming claims in accordance with established policies and procedures.
  • Adhered to all applicable laws, regulations, and company standards while processing claims.

Office/Shipping and Receiving Clerk

Independent Group Studies
Fargo
1995 - 1997
  • Processed outbound shipments, including packing and labeling products for delivery.
  • Processed outgoing shipments using shipping software systems.
  • Received shipments and verified contents against packing lists.
  • Organized inventory in designated storage areas.
  • Ensured compliance with safety regulations during handling operations.
  • Operated computers to access information related to shipping activities.

Bank Teller

US Bank
Saint Louis Park
1994 - 1995
  • Assisted customers with account inquiries and banking services, ensuring satisfaction and accuracy in service delivery.
  • Processed customer transactions accurately and efficiently.
  • Processed customer deposits and withdrawals accurately, balancing cash drawer daily.
  • Maintained cash drawer and balanced daily transactions.
  • Performed cash handling duties including counting currency, coins and checks.
  • Handled large sums of money with accuracy while maintaining appropriate levels of security.
  • Adhered to compliance policies and security procedures consistently.
  • Maintained confidentiality of bank records and customer information, upholding trust and compliance with regulations.
  • Processed customer checks for cashing, verifying identification and checking account balances in accordance with bank policy to mitigate risk.

Retail Sales Associate

T J Maxx Store
Fargo
1989 - 1994
  • Provided exceptional customer service, fostering a welcoming shopping atmosphere.
  • Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention.
  • Assisted customers in locating merchandise and answering product questions.
  • Completed transactions in an efficient manner while providing excellent customer service.
  • Processed transactions efficiently at the cash register with attention to detail.
  • Organized and maintained sales floor to ensure a clean shopping environment.
  • Followed company policies, rules and procedures to promote company goals and maintain safety.

Education

Travel Agent - Travel

Interstate Business College
Fargo, ND
01-1994

High School Diploma -

Shanley High School
Fargo, ND
01-1991

Skills

  • Standards compliance
  • Attention to detail
  • Organizational skills
  • Time management
  • Customer service
  • Problem resolution
  • Effective communication
  • Written communication
  • Team collaboration
  • Teamwork
  • Dependability
  • Flexibility and adaptability
  • Leadership supervision
  • Self-direction
  • Planning
  • Critical thinking
  • Problem-solving
  • Positive attitude
  • Leadership

Timeline

Claims Processor

Noridian Medicare
11.1997 - 2000

Claims Supervisor

Noridian Medicare
2016 - Current

Claims Analyst

Noridian Medicare
2009 - 2016

Operations Coordinator

Noridian Medicare
2000 - 2009

Office/Shipping and Receiving Clerk

Independent Group Studies
1995 - 1997

Bank Teller

US Bank
1994 - 1995

Retail Sales Associate

T J Maxx Store
1989 - 1994

Travel Agent - Travel

Interstate Business College

High School Diploma -

Shanley High School
Jennifer Goldade