Kathleen Gengler
Medford
Summary
Dedicated claims professional with over four years of experience in claims processing and customer relationship management. Known for strong attention to detail with a 2025 claim audit score of 99.55%.
Overview
10
10
years of professional experience
Work History
Associate Claims Representative
Security Health Plan
Marshfield
04.2022 - Current
- Processed claims using claims management software, ensuring timely and accurate resolution.
- Reviewed policy documents to confirm coverage and eligibility, facilitating smooth claims processing.
- Collaborated with medical providers for accurate claim information.
- Educated clients on policy benefits and claims procedures effectively.
- Resolved discrepancies by investigating claim issues thoroughly.
- Assisted team members in navigating complex claims scenarios collaboratively.
- Investigated and resolved customer inquiries about claim status, enhancing client satisfaction and trust.
- Adhered to all applicable state and federal regulations pertaining to claims processing.
- Processed payments for approved claims promptly and accurately.
- Contacted claimants to gather required information.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
Office Manager
Dunamis Therapy and Fitness
Thorp
03.2016 - 04.2022
- Managed daily office operations and coordinated administrative tasks effectively.
- Oversaw scheduling and maintained appointment calendars for therapists and clients.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Facilitated seamless communication among staff, clients, and external vendors to enhance collaboration.
- Monitored client payments and contacted those with past due balances to ensure timely resolution.
- Resolved customer inquiries promptly, fostering positive relationships with clients.
- Organized office supplies and ensured inventory levels met operational needs.
- Implemented filing systems to enhance document organization and retrieval efficiency.
- Monitored compliance with health and safety regulations across the facility.
- Provided training to new hires on office policies and procedures.
Education
High School Diploma -
Medford Area Senior High School
Medford, WI05-1998
Some College (No Degree) - Business Administration
University of Phoenix
Tempe, AZSkills
- Claims processing
- Claims management system
- Insurance claim forms review
- Claims adjustment
- Policy verification
- Medical documentation
- Regulatory compliance
- Customer relationship management
- Attention to detail
- Problem solving
- Time management
- Multitasking capacity
- Task prioritization
- Teamwork and collaboration
- Team collaboration
- Self motivation
- Microsoft office
- Office equipment operation
- Effective communication
Timeline
Associate Claims Representative
Security Health Plan
04.2022 - Current
Office Manager
Dunamis Therapy and Fitness
03.2016 - 04.2022
High School Diploma -
Medford Area Senior High School
Some College (No Degree) - Business Administration
University of Phoenix