Jodie Bunch
Park Hills,MO
Summary
Dedicated professional with strong customer service and quality control skills. Proven ability to resolve issues and enhance client satisfaction through effective communication.
Overview
24
24
years of professional experience
Work History
Preloader
Toyoda Gosei
Perryville, Missouri
04.2025 - Current
- Loaded materials onto paint line to enable seamless production flow.
- Conducted thorough quality checks on surfaces pre-paint application to uphold product standards.
- Inspected painted surfaces for quality control, ensuring compliance with quality specifications.
- Collaborated with team members to efficiently meet production schedules.
Crew Member
Popeye's Chicken
Cape Girardeau, Missouri
11.2024 - 04.2025
- Addressed and resolved customer complaints promptly, improving overall satisfaction.
- Guided customers in menu selections, enhancing overall dining experience.
- Collaborated with team members to streamline workflow during busy periods.
- Processed cash transactions accurately, contributing to efficient register operations.
- Maintained cleanliness in dining and kitchen areas, supporting health standards and customer satisfaction.
House Cleaner
Self-employeed
Bismarck, Missouri
03.2022 - 03.2024
- Utilized eco-friendly products and efficient techniques to clean residential spaces, resulting in increased client satisfaction and commitment to sustainability.
- Created customized cleaning plans that aligned with client preferences, leading to improved service delivery and client loyalty.
- Executed multiple cleaning tasks daily with effective time management, maintaining high cleanliness standards that contributed to client retention.
- Communicated professionally with clients to ensure satisfaction and address concerns.
Senior Claims Examiner
Tegria
Remote, MO
10.2021 - 03.2022
- Reviewed and analyzed complex insurance claims, ensuring accuracy and compliance to mitigate financial risk.
- Approved payment requests, ensuring adherence to guidelines and criteria to maintain financial integrity.
- Resolved escalated client complaints regarding denied or delayed payments, improving customer satisfaction and trust.
- Investigated claim discrepancies through detailed research and documentation review, enhancing accuracy of claims processing.
- Utilized industry-specific software to efficiently manage and track claim processing workflows, optimizing claim turnaround times.
- Processed high volume of claims daily within established time frames, contributing to streamlined operations.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Senior Claims Examiner
Jacobson Group
Remote, MO
01.2020 - 02.2020
- Reviewed and analyzed complex insurance claims, ensuring accuracy and compliance with industry standards.
- Investigated claim discrepancies through detailed research, resolving issues and ensuring claim integrity.
- Communicated with healthcare providers to address claim discrepancies and inquiries, enhancing resolution processes.
- Submitted claims promptly, maximizing reimbursement potential for healthcare services.
Senior Claims Examiner
Cigna
St Louis, Missouri
08.2011 - 12.2017
- Processed high volume of claims daily within established time frames, contributing to timely resolution and customer satisfaction.
- Reviewed claim submissions for completeness and ensured compliance with regulatory standards, enhancing overall claim accuracy.
- Calculated payments due based on allowed charges versus billed charges per contract terms, ensuring accurate reimbursements for payers and providers.
- Resolved claim discrepancies and inquiries through effective communication with healthcare providers, facilitating smoother claims resolution.
- Facilitated resolution of claims issues for clients, claimants, and providers to enhance service delivery.
- Responded promptly to customer inquiries regarding claim status or other issues.
- Collaborated with team members to streamline claims processing workflows, enhancing operational efficiency and reducing overall processing time.
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Sent clinical request and missing information letters to obtain incomplete information.
Senior Claims Examiner
Jacobson Group
St Louis, Missouri
02.2009 - 04.2009
- Reviewed and analyzed complex insurance claims, ensuring accuracy and compliance to mitigate financial and regulatory risks.
- Interpreted complex medical policies and procedures to confirm coverage eligibility, facilitating timely claims processing.
- Reviewed and processed claims using claims management software, enhancing workflow efficiency and claim resolution.
- Maintained up-to-date knowledge on Medicare, Medicaid, and private insurance guidelines to support accurate claim assessments.
Senior Claims Examiner
TriZetto
Remote, FL
06.2006 - 08.2008
- Processed medical claims using specialized software for accuracy and efficiency.
- Communicated with healthcare providers to resolve claim discrepancies and inquiries.
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Processed a high volume of claims on a daily basis using established time frames.
Customer Service Representative
Blue Cross Blue Shield of Florida
Jacksonville, Florida
12.2001 - 06.2006
- Assisted customers with inquiries and resolved issues through effective communication.
- Resolved escalated customer complaints, delivering timely solutions to ensure satisfaction.
- Collaborated with healthcare providers to resolve claim discrepancies, improving accuracy of resolutions.
- Processed claims efficiently within time frames, maintaining compliance with regulatory standards.
- Reviewed claim submissions for completeness and compliance with regulatory standards.
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Trained new staff on company procedures, ensuring consistent application of policies.
- Inputted data into the system, maintaining accuracy of provider coding information and reported services.
Education
CDL-A -
MTC
Cape Girardeau, MO10-2025
High School Diploma -
Mandarin High
Jacksonville, FL06-1995
Skills
- Customer service
- Quality control
- Time management
- Team collaboration
- Communication skills
- Problem resolution
- Data entry
- Adaptable to change
- Medical claims processing
- Conflict resolution
- Effective communication
- Records security practices
- Claim denial resolution
- Electronic health records (EHR)
- Insurance claims
- ICD codes
- Medical Terminology Familiarity
- HIPAA
- Professionalism and ethics
- Insurance claims processing
- CPT code mastery
- Telephone etiquette
- Documentation
- Teamwork skills
- Microsoft office
- Recordkeeping organization
Timeline
Preloader
Toyoda Gosei
04.2025 - Current
Crew Member
Popeye's Chicken
11.2024 - 04.2025
House Cleaner
Self-employeed
03.2022 - 03.2024
Senior Claims Examiner
Tegria
10.2021 - 03.2022
Senior Claims Examiner
Jacobson Group
01.2020 - 02.2020
Senior Claims Examiner
Cigna
08.2011 - 12.2017
Senior Claims Examiner
Jacobson Group
02.2009 - 04.2009
Senior Claims Examiner
TriZetto
06.2006 - 08.2008
Customer Service Representative
Blue Cross Blue Shield of Florida
12.2001 - 06.2006
CDL-A -
MTC
High School Diploma -
Mandarin High