Keeanu Pollard
Conway,US
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volumes of claims. Highly accurate and thorough with a focus on completing error-free work in line with processing guidelines. Driven [Job Title] and customer service professional with insurance agency experience. Decisive negotiator and salesperson.
Overview
3
3
years of professional experience
Work History
Claims Processor
Elevance Health
11.2022 - Current
- Utilized specialized software to process incoming claims, enter data, and generate reports.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Assisted in the onboarding of new claims processors to familiarize them with company procedures, policies, and processes.
- Managed workload and priorities to meet claims processing deadlines.
Claims Processor I
Blue Cross Blue Shield
01.2022 - 11.2022
- Obtain and examine all relevant information to assess the validity of complaints and to determine possible causes, such as extreme weather conditions that could increase utility bills
- Check to ensure that appropriate changes were made to resolve customers' problems
- Review claims adjustments with dealers examine parts claimed to be defective and approve or disapprove dealers' claims
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions, are taken.
Customer Service Rep
Blue Cross Blue Shield
11.2020 - 01.2022
- Handled customer inquiries and suggestions courteously and professionally.
- Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
Education
Associate of Science - Nursing
Horry Georgetown Technical College
Conway, South Carolina01.2023
High School Diploma -
HCS Early College High School
Conway, South Carolina05.2020
Skills
- Claims Review
- Transactions Reconciliation
- Regulatory Compliance
- Claims
Quick Learner
True
Perfectionist
True
Problem Solving
True
Error Identification
True
Timeline
Claims Processor
Elevance Health
11.2022 - Current
Claims Processor I
Blue Cross Blue Shield
01.2022 - 11.2022
Customer Service Rep
Blue Cross Blue Shield
11.2020 - 01.2022
Associate of Science - Nursing
Horry Georgetown Technical College
High School Diploma -
HCS Early College High School
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