Summary
Overview
Work History
Education
Skills
Work Availability
Accomplishments
Certification
Work Preference
Software
Timeline
Hi, I’m

Kelly Cote

Everett,WA
Kelly Cote

Summary

Dynamic and results-oriented professional with a proven track record at Kaiser Permanente, adept in problem-solving and customer service. Excelled in enhancing office efficiency and improving customer satisfaction through excellent organizational skills and effective communication. Skilled in MS Office and time management, consistently achieving goals through leadership and meticulous attention to detail.

Overview

30
years of professional experience

Work History

Clyde Revord GMC Motors

Administration Specialist
08.2021 - 04.2023

Job overview

  • Increased customer satisfaction through prompt responses to inquiries, consistent follow-ups, and excellent problem-solving skills.
  • Maintained an organized office environment with proper inventory ensuring that all supplies were readily available for staff use
  • Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
  • Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
  • Assisted coworkers and staff members with special tasks on daily basis.
  • Managed filing system, entered data and completed other clerical tasks.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.

Sound Ford of Renton

Internet Sales Specialist
08.2019 - 07.2021

Job overview

  • Managed multiple online sales channels for optimal revenue generation and market reach.
  • Spearheaded special projects aimed at increasing online sales, such as targeted promotions or website feature enhancements.
  • Analyzed sales metrics regularly to refine marketing strategies based on performance results for continuous improvement efforts.
  • Increased customer satisfaction with timely response to inquiries and providing accurate product information.
  • Managed customer service inquiries and complaints for customer satisfaction.
  • Responded to customer issues and resolved complaints by leveraging expert knowledge.

Kaiser Permanente

Medical Claims Adjuster/Lead
12.2001 - 06.2019

Job overview

  • Contributed to a positive work environment through active participation in team meetings.
  • Answered customer questions regarding cost shares (OOP) deductibles, coinsurance and co-pays.
  • Provided exceptional customer service, addressing concerns, and answering questions promptly.
  • Assisted in the creation of departmental procedures and guidelines.
  • Resolved complex claims issues for expedited processing and resolution.
  • Reduced claim processing time by streamlining medical claims adjudication processes.
  • Researched and resolved complex medical claims issues to support timely processing.
  • Monitored and updated claims status in claims processing system.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Proven ability to learn quickly and adapt to new situations.
  • Excellent communication skills, both verbal and written.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Organized and detail-oriented with a strong work ethic.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Worked well in a team setting, providing support and guidance.

Premera Blue Cross Of Washington

Claims Processor
04.1993 - 12.2001

Job overview

  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.
  • Managed workload and priorities to meet claims processing deadlines.
  • Followed up with customers on unresolved issues.
  • Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
  • Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Modified, updated and processed existing policies.

Education

Edmonds Community College
Lynnwood, WA

Associates Degree In Business from Business Administration
06.1997

Skills

  • Scheduling appointments
  • Multi-Line Phone Systems
  • Highly Motivated
  • Customer service
  • Excellent communication skills
  • Reliable
  • Attention to detail
  • Excellent organizational skills
  • Decision-Making
  • Dependable
  • Team Building and Leadership
  • Goal Setting
  • MS Office
  • Mail handling
  • Excellent multitasking skills
  • Fast Learner
  • Problem-Solving skills
  • Time Management
  • Administrative Support
Availability
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Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments

  • Documented and resolved issues around newborns hospital claim duplicating against moms hospital claim which led to both claims adjudicating correctly and timely.

Certification

  • Food handlers permit
  • WA State Driver's License

Work Preference

Work Type

Full TimePart TimeGig Work

Software

Microsoft Word, Excel, Access and Outlook

Timeline

Administration Specialist

Clyde Revord GMC Motors
08.2021 - 04.2023

Internet Sales Specialist

Sound Ford of Renton
08.2019 - 07.2021

Medical Claims Adjuster/Lead

Kaiser Permanente
12.2001 - 06.2019

Claims Processor

Premera Blue Cross Of Washington
04.1993 - 12.2001

Edmonds Community College

Associates Degree In Business from Business Administration
Kelly Cote