Kaivis Reid
Every problem is a gift—without problems we would not grow.
Tony Robbins
Summary
Dependable administration and service representative serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Recovery Specialist Associate
Elevance Health
01.2022 - Current
- Remote
- Extensive experience in subrogation recovery and claims management
- Skilled in negotiating and resolving disputes with third-party entities and insurance companies
- Proficient in analyzing and evaluating claim files, investigating losses, and identifying potential recovery opportunities
- Strong organizational skills with attention to detail, able to manage multiple cases simultaneously
- Excellent communication skills, both verbal and written, able to communicate with clients and third-party entities clearly and professionally
- Reviewed 80 -100 patient cases per week and verified insurance coverage information.
- Processed 45 invoices each day and mailed documentation to clients.
- Familiarity with state and federal laws and regulations related to subrogation recovery and insurance
Alarm Monitor Dispatcher
Acom Integrated Solutions
11.2020 - 04.2021
- Respond to incoming alarm signals according to documented procedures and accurately annotate each action taken for historical records
- Review video feeds and document observed events
- Dispatch police, fire, or guard service for alarm signals, as necessary
- Notify customers of alarm problems
- Answer incoming customers, technicians, and law enforcement calls and handle as applicable
- Log all action taken for historical records
- Monitor multiple internal electronic systems for proper operation to assure customers of continuous response to alarm activity
- Monitor and protect integrity of compliance requirements for secured facilities
- Manually enter alarms into MAS system
CONSUMER SERVICE ASSOCIATE
ANTHEM BCBS
11.2018 - 09.2020
- Scanned, received, and sent faxes to appropriate departments, including insurance claims, co-pay assistance information and patient documentation
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities
- Answered copious amounts of inbound calls per day from existing and future policyholders to answer inquiries and discuss insurance options
- Displayed consistent, positive attitude towards customers, peers, and other personnel, even during high-stress situations
- Scheduled fact-finding appointments and consultations to determine client needs and overall financial situations
- Managed customer issues and enhanced satisfaction by matching optimal solutions to individual customer needs.
- Answered approximately 50 calls and emails per day to resolve questions and problems.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution
Education
Diploma - Practical Nursing
05.2024
High School Diploma -
05.2014
Skills
- Microsoft Word, Excel, Graphics,
- Spreadsheet, PowerPoint
- Customer Service Excellence
- Securities
- Documentation and reporting
- Quality Assurance Controls
- Insurance Industry Experience
- Claims Inspections
- Problem-solving skills
- Claims reporting systems Account
- Management
- Underwriting and adjustments Quote
- Health insurance
- Patient-Focused Quality Service
- BLS Certified
- Medical Terminology
Affiliations
HOSAHelp the Hooch Member
Certification
- Certified BLS & AED, Georgia Training Center - 2023
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Recovery Specialist Associate - Elevance Health
01.2022 - Current
Alarm Monitor Dispatcher - Acom Integrated Solutions
11.2020 - 04.2021
CONSUMER SERVICE ASSOCIATE - ANTHEM BCBS
11.2018 - 09.2020
Columbus Technical Nursing - Diploma, Practical Nursing
Kendrick High School - High School Diploma,
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