Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.
Overview
17
17
years of professional experience
Work History
Group Claims Representative
Cigna Healthcare
08.2022 - 09.2023
Worked productively in fast-moving work environment to process large volumes of claims.
Analyzed and addressed escalated claims to resolve issues quickly.
Revenue Officer
SC Department of Revenue
01.2021 - 08.2022
Considered alternative means of resolving tax debt issues if taxpayer could not pay
Responded to taxpayer questions and helped individuals complete and file tax documentation.
Collected delinquent federal taxes and secured all delinquent returns.
Provider Service Representative
BroadPath Health Solutions
01.2020 - 04.2020
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Investigated and resolved customer inquiries and complaints quickly.
Retail Merchandiser
Hallmark Marketing Company LLC
05.2019 - 01.2020
Organized store merchandise racks and displays to promote and maintain visually appealing environments.
Organized and maintained displays to achieve clean and appealing product layouts.
Human Service Specialist II
South Carolina Department of Health and Human Services
02.2018 - 02.2019
Served as a Non-Magi Eligibility worker for SC Medicaid program
Collected and evaluated documentation from applicants to determine eligibility for the program
Performed Red Cross shelter duty or other emergency shelter duty and services as directed.
Tax Preparer
Jackson Hewitt Tax Service
09.2016 - 03.2018
Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions.
Completed and filed returns with tax departments at local, state, and federal levels.
Claims Customer Service Advocate II
Blue Cross Blue Shield of South Carolina
08.2011 - 02.2018
Analyzed customers' issues and complaints and initiated corrective actions.
Worked effectively with fellow team members to coordinate effective solutions to any question or concern.
Advertising Assistant Intern
Waccamaw Publishers
08.2010 - 01.2011
Served as an assistant to the Advertising Director
Performed various clerical functions, including making copies, faxing, and filing papers.
Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
Deli Sales Associate
Sam's Club
04.2007 - 01.2011
Greeted customers at counter to fulfill requests and answer questions.
Maintained clean, trash-free workspaces to maximize productivity and safety.
Administrative Assistant Intern
Hospice Care of South Carolina
02.2010 - 05.2010
Served as an Administrative Assistant to the Regional Volunteer Coordinator
Assisted with organization and maintenance of office filing system for easy retrieval of information.
Maintained confidentiality and security of sensitive information to protect privacy and security of company data.
Salesperson
Journey's
04.2006 - 04.2007
Worked to build relationships with customers and built potential for additional sales.
Engaged customers in social conversations to create pleasant and easy shopping experience.
Education
Bachelor of Science - Business Administration
Coastal Carolina University
Conway, SC
08.2012
Skills
Coverage Determination
Settlement Negotiation
Claims Investigation
File Management
Timeline
Group Claims Representative
Cigna Healthcare
08.2022 - 09.2023
Revenue Officer
SC Department of Revenue
01.2021 - 08.2022
Provider Service Representative
BroadPath Health Solutions
01.2020 - 04.2020
Retail Merchandiser
Hallmark Marketing Company LLC
05.2019 - 01.2020
Human Service Specialist II
South Carolina Department of Health and Human Services