KASANDRA CRISSEN
Jacksonville,FL
Summary
Experienced Health Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering years of experience and willingness to take on any challenge.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Representative
WPS Health Solutions
07.2023 - Current
- Maintained confidentiality of patient finances, records, and health statuses.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Checked documentation for accuracy and validity on updated systems.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Processed and recorded new policies and claims.
Corrections Officer
Florida Department of Corrections
06.2022 - 06.2023
- Collaborated with fellow officers to maintain a secure and orderly environment within the correctional facility.
- Facilitated timely communication with legal professionals by preparing detailed reports regarding individual inmate behavior, progress, or concerns for use during parole hearings or trial proceedings.
- Strengthened emergency response protocols by conducting emergency scenarios and quarterly drills and assessing results.
- Safeguarded public safety by ensuring strict adherence to established policies governing transportation of inmates between facilities or court proceedings.
911 Emergency Dispatcher
Jacksonville Fire and Rescue Department
06.2020 - 06.2022
- Followed established protocols for professional handling of emergency situations.
- Continuously updated knowledge of changing policies, procedures, and technologies within the 911 Emergency Dispatcher field through ongoing professional development opportunities.
- Operated telephone and radio equipment to receive requests and reports from police officers, medical dispatch and firefighting crews.
- Dispatched and coordinated emergency services teams according to high-priority calls.
- Reduced errors in dispatch procedures by maintaining accurate records of all emergency calls, resource allocations, and incident outcomes.
- Served as a mentor for newly hired dispatchers, offering guidance and support throughout their training process to ensure seamless integration into the team.
- Automated document flow by ensuring logbooks and fire, accident, and emergency reports were maintained with 100% accuracy.
- Strengthened teamwork among dispatch staff through collaboration on complex cases requiring coordinated efforts from multiple agencies.
- Applied interpersonal skills in neutralizing hostile and emotionally charged situations.
- Maintained high levels of situational awareness during emergency situations, allowing for quick adjustments and accurate updates to responding units as needed.
- Assessed emergency requests and made quick judgment calls to determine appropriate action.
- Directed responders using assigned mapping systems for timely emergency attendance.
- Reduced risks and emergency response issues by observing public safety field units.
Mental Health Technician
Mental Health Resource Center
06.2021 - 06.2022
- Coordinated discharge planning efforts between patients, family members, and community support services to ensure a smooth transition.
- Maintained detailed records of patient interactions, ensuring accurate documentation for future reference.
- Promoted a safe, therapeutic environment by enforcing facility policies and maintaining patient confidentiality at all times.
- Maintained patient records, documenting changes in patient condition.
- Performed scheduled patient safety checks and documented results to establish patients' well-being.
Customer Service Representative
ERC
01.2019 - 06.2020
- Created and maintained detailed database to develop promotional sales.
- Educated customers about billing, payment processing and support policies and procedures.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Updated account information to maintain customer records.
- Reduced process inconsistencies and effectively trained team members on best practices and protocols.
- Increased efficiency and team productivity by promoting operational best practices.
- Promptly responded to inquiries and requests from prospective customers.
Customer Service Representative
Walmart
02.2018 - 01.2019
- Maintained clean and orderly checkout areas by mopping floors, emptying trash cans and wiping down surfaces.
- Educated customers about billing, payment processing and support policies and procedures.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
- Calculated correct order totals, updated accounts, and maintained detailed records for inventory management.
Education
high school diploma - Band
Douglas Anderson School of The Arts
Jacksonville, FL06.2023
Skills
- Policy Review
- Data Entry
- Active Listening
- Documentation abilities
- Database Management
- Recordkeeping Organization
- Denied claims identification
- Understanding of medical terms
- Documentation Review
- Policy understanding
- Critical Thinking
- Insurance Claims Review
- Medical Terminology
- Claims adjustment
- Documentation processing
- Claims Processing
Certification
- EMD
- Certified Corrections Officer
- CPR
Timeline
Claims Representative
WPS Health Solutions
07.2023 - Current
Corrections Officer
Florida Department of Corrections
06.2022 - 06.2023
Mental Health Technician
Mental Health Resource Center
06.2021 - 06.2022
911 Emergency Dispatcher
Jacksonville Fire and Rescue Department
06.2020 - 06.2022
Customer Service Representative
ERC
01.2019 - 06.2020
Customer Service Representative
Walmart
02.2018 - 01.2019
high school diploma - Band
Douglas Anderson School of The Arts
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