Summary
Overview
Work History
Education
Skills
Timeline
Generic

Katherine Turner

Lockport,NY

Summary

Organized, dependable and detail oriented candidate successful at managing multiple priorities with a positive and an empathetic attitude. Willingness to take on additional responsibilities to meet team goals. Ranked 97th percentile among ICS adjusters, countrywide for 2023.

Overview

18
18
years of professional experience

Work History

First Party Medical Adjuster

GEICO
07.2024 - Current
  • Maintain strong relationships with policyholders, adverse carriers, claimants, attorneys, medical providers and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
  • Review police reports, medical treatment records, claims forms, liens and IME reports to determine coverage and payments.
  • Secure recorded interviews tailored to each customer and claim situation.
  • Assist customers in understanding their insurance coverages by explaining complex terms and conditions in layman's terms.
  • Ensure compliance with state regulations and company policies through diligent review of all claim-related materials.
  • Explain coverage denials and disclaimers and denials while being mindful of customers' lack of insurance knowledge and reluctance to accept difficult communication.
  • Complete coverage investigations to determine if coverages will be afforded, disclaimed or denied.
  • Aggressively follow up for treatment status to continually asses the need for mitigation.

Apparel Specialist/Customer Service Supervisor

Dick’s Sporting Goods
10.2023 - Current


  • Enhancing customer satisfaction by providing personalized styling advice and product recommendations.
  • Supporting service standards by positively engaging with customers.
  • Upholding standards for merchandise presentation of apparel.
  • Welcome customers, help meet their needs.
  • Ordering items online for athletes when items are not in stock in store.
  • Handling cash transactions efficiently, balancing registers at the end of each shift without discrepancies.
  • Operating cash register for cash, and credit card transactions with excellent accuracy.

Claims Specialist

GEICO
10.2022 - 07.2024
  • Managing a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Enhancing customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Responding to inquiries by answering questions, providing information and directing customers to appropriate resources.
  • Settling complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
  • Handling high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both customers and the company.
  • Aggressively follow up with customers to investigate and resolve liability or coverage.

Front End Supervisor

Rite Aid Pharmacy
03.2024 - 06.2024
  • Maintaining a clean and organized front-end area to ensure a pleasant shopping experience for customers.
  • Managing customer returns and exchanges efficiently, ensuring a smooth process for both customers and employees.
  • Responding to customer concerns with friendly and knowledgeable service and remedied issues promptly and effectively.
  • Ensuring compliance with company policies and local regulations through regular audits of cash registers, transaction records, and employee behaviors on duty.
  • Enhancing customer satisfaction by effectively managing front-end operations and addressing customer concerns promptly.
  • Greeting customers upon arrival, offering assistance, and answering questions to build rapport and retention.

Medical Biller

Practice First
08.2019 - 06.2023
  • Answered general billing questions from patients and insurance companies
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Filed and updated patient information and medical records.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Posted payments and collections on regular basis.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.

Pharmacy Technician

Rite Aid Pharmacy
12.2006 - 05.2021
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Ordered medicines daily to replenish stock and increase inventory in anticipation of need.

Medical Biller

Health System Services
11.2018 - 08.2019
  • Collected payments and applied to patient accounts.
  • Answered general billing questions from patients and insurance companies.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.

Medical Biller/Retail Specialist

Complete Homecare Inc.
07.2012 - 10.2018
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Prepared monthly credit cards payments and ran payments monthly with accuracy
  • Answered general and billing questions from patients and insurance companies
  • Contacted insurance companies to verify eligibility, benefits and authorization requirements
  • followed up with insurance companies on outstanding claims to insure timely processing.
  • Measured and fitted patients with compression stockings and mastectomy bras
  • Supplied customers who came into retail store with braces, stockings, walking aids and other durable medical equipment products.

Education

High School Diploma -

North Tonawanda Senior High School
North Tonawanda, NY

Medical Billing -

Niagara County Community College
Sanborn, NY

Medical Assisting -

Niagara County Community College
Sanborn, NY

Skills

  • Proficient in Microsoft Word, Microsoft Excel, Brightree, Fastrack, Nextgen and Atlas
  • Certified compression stocking and mastectomy fitter
  • Extensive knowledge of insurances, workers compensation and no-fault
  • Customer service
  • Basic medical terminology
  • Cash register operation
  • Opening and closing procedures
  • Problem-solving skills
  • Time Management
  • Staff Supervision
  • Workflow Management
  • Cash counting

Timeline

First Party Medical Adjuster

GEICO
07.2024 - Current

Front End Supervisor

Rite Aid Pharmacy
03.2024 - 06.2024

Apparel Specialist/Customer Service Supervisor

Dick’s Sporting Goods
10.2023 - Current

Claims Specialist

GEICO
10.2022 - 07.2024

Medical Biller

Practice First
08.2019 - 06.2023

Medical Biller

Health System Services
11.2018 - 08.2019

Medical Biller/Retail Specialist

Complete Homecare Inc.
07.2012 - 10.2018

Pharmacy Technician

Rite Aid Pharmacy
12.2006 - 05.2021

High School Diploma -

North Tonawanda Senior High School

Medical Billing -

Niagara County Community College

Medical Assisting -

Niagara County Community College

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Katherine Turner