Summary
Overview
Work History
Education
Skills
Timeline
CustomerServiceRepresentative
Jocelyn Dauncey

Jocelyn Dauncey

Snohomish,Washington

Summary

Results-driven Claims Processor at Premera Blue Cross Of Washington, skilled in claims review and regulatory compliance. Achieved significant reductions in error rates while enhancing team collaboration. Proficient in claims processing software and committed to maintaining professionalism and ethics in all interactions. Recognized for critical thinking and attention to detail in fast-paced environments.

Overview

21
21
years of professional experience

Work History

Claims Processor

Premera Blue Cross Of Washington
01.2011 - Current
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
  • Utilized specialized software to process incoming claims, enter data and generate reports.
  • Trained new employees on claims processing procedures, contributing to a well-prepared workforce.
  • Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
  • Maintained strict confidentiality as per the PPI laws
  • Tracked and reported on claims processing metrics to aid senior management in making informed decisions.
  • Contributed to the development and implementation of new procedures, policies, or guidelines that improved claim processing efficiency across the organization.
  • Enhanced team morale and engagement, recognizing and celebrating achievements of team members.
  • Reduced backlog of pending claims, prioritizing tasks effectively and efficiently.
  • Achieved significant reductions in error rates, rigorously adhering to company guidelines and procedures.
  • Supported team members in achieving their personal and professional goals, fostering collaborative and supportive work environment.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Verified client information by analyzing existing evidence on file.
  • Calculated adjustments, premiums and refunds.

Barista

Safeway - Starbucks
03.2010 - 01.2011
  • Promoted a welcoming atmosphere by greeting customers with a friendly demeanor and promptly addressing their needs.
  • Managed time effectively to balance both front-of-house tasks and back-of-house responsibilities during busy periods.
  • Maintained and operated espresso machines, blenders, commercial coffee brewers, coffee pots, and other equipment.
  • Assisted in inventory management to maintain adequate stock levels and reduce wastage.

Massage Therapist

Lorinda's Salon Spa Store
09.2008 - 08.2009
  • Increased client satisfaction by providing exceptional service and maintaining a clean, comfortable environment.
  • Demonstrated knowledge of anatomy and physiology to better understand body and inform massage techniques.
  • Booked appointments, answered phones, greeted clients, handled payments, and created client service tickets.
  • Fostered a positive and calming atmosphere in the treatment room, allowing clients to feel comfortable and at ease during their sessions.
  • Achieved high levels of customer satisfaction with empathetic listening skills and clear communication about treatment plans.

Childcare Provider

YMCA
09.2005 - 09.2007
  • Maintained clean facilities by following sanitation protocols, ensuring a healthy environment for all children.
  • Supported emotional well-being by addressing individual needs and providing a nurturing environment for growth.
  • Managed behavior issues effectively using positive reinforcement techniques, fostering a respectful atmosphere within the childcare setting.
  • Applied positive behavior management techniques to enhance social interactions and emotional development.
  • Communicated regularly with parents regarding their child''s achievements or concerns while offering guidance on home-based support strategies.
  • Oversaw smooth drop-off/pick-up transitions by maintaining open communication with parents and ensuring a safe environment for children.

Title Insurance Production Worker

Rainier Title
10.2004 - 07.2005
  • Met or exceeded daily production targets consistently through efficient task execution and effective time management skills.
  • Engaged in regular review meetings to discuss production performance and set future goals.
  • Assembled products according to changing daily work orders and specific customer needs.
  • Collaborated with other departments to optimize production workflows.

Education

License Of Massage - Massage Therapy

Everest College
Seattle, WA

Diploma -

Mariner High School
Everett, WA

Skills

  • Claims review
  • Accuracy and precision
  • Policy interpretation
  • Claims processing software
  • Professionalism and ethics
  • Regulatory compliance
  • Medical terminology
  • Data entry proficiency
  • Insurance regulations
  • Attention to detail
  • Critical thinking
  • Claims processing
  • Claims adjustment
  • Claim amount calculations
  • Microsoft office
  • Microsoft Excel
  • Microsoft Teams
  • Denied claims identification
  • Decision-making

Timeline

Claims Processor

Premera Blue Cross Of Washington
01.2011 - Current

Barista

Safeway - Starbucks
03.2010 - 01.2011

Massage Therapist

Lorinda's Salon Spa Store
09.2008 - 08.2009

Childcare Provider

YMCA
09.2005 - 09.2007

Title Insurance Production Worker

Rainier Title
10.2004 - 07.2005

License Of Massage - Massage Therapy

Everest College

Diploma -

Mariner High School

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Jocelyn Dauncey