Summary
Overview
Work History
Education
Skills
Additional Information
Work Availability
Quote
Timeline
Hi, I’m

Kelly Kolacek-Heaton

West,TX
Kelly Kolacek-Heaton

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

9
years of professional experience

Work History

State Farm
Richardson, Texas

Express Auto/Property Claims Associate
01.2023 - Current

Job overview

  • Analyzed and addressed as many as 60 claims a day to resolve issues quickly.
  • Developed in-depth understanding of insurance policies and procedures to give accurate recommendations to suit clients' needs.
  • Maintained accurate and up-to-date records of claim information for future reference on every claim I handled daily
  • Investigated accidents or incidents to determine cause and extent of damages.
  • Verified client information by analyzing existing evidence on file.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Processed and recorded 60+ new policies and claims daily
  • Posted payments to accounts and maintained records.
  • Checked documentation for accuracy and validity on updated systems.
  • Generated, posted and attached information to claim files.
  • Examined reports, accounts, and evidence to determine integrity and accuracy of information.
  • Worked productively in fast-moving work environment to process large volumes of claims.

MyEyeDr.

Eyewear Consultant
03.2021 - 03.2023

Job overview

  • Handled and filed 50+ patient records with discretion to comply with HIPAA guidelines.
  • Placed up to 25 contact lens orders daily
  • Reviewed prescriptions and patient information carefully to identify special needs.
  • Delivered up to 100 energetic responses to customers in-store and by telephone, going above and beyond to serve needs.
  • Developed strong rapport with customers and created positive impression of business.
  • Explained benefits and features of available current eye wear to meet patient needs and preferences.

CLEBURNE EYE CLINIC

OPTICIAN
08.2014 - 03.2021

Job overview

  • Working all aspects of insurance claims, from pulling insurance policy’s to processing.
  • Educated patients on proper use, care and maintenance of eyeglasses and contact lenses.
  • Filed claims with vision and medical insurance companies to garner payment for optical services.
  • Calibrated seg heights, vertex, and pupillary distance and pantoscopic tilt to customize eyeglass orders and create perfect fit.
  • Suggested optional items such as lens coatings and lightweight lenses to improve patient experience with eyeglasses.
  • Maintained safe, clean and organized environment to increase patient comfort.
  • Verified and updated patient records promptly to guarantee accurate prescription information.
  • Set up attractive displays, shared current promotions, and offered excellent customer service to increase satisfaction.
  • Contacted patients when eyeglasses or contact lenses arrived in store and assisted with final fitting.
  • Measured patients' faces for bridge, eye size, and temple length to select comfortable frames.
  • Instructed patients on proper insertion, removal, and cleaning techniques for contact lenses.
  • Aided patients in selection of flattering eyeglass frames appropriate for prescription and style preferences.
  • Operated lensometers to orient and mark uncut lenses for eyeglasses.
  • Utilized advanced knowledge of ocular anatomy, physiology and optics to provide proper eyewear.
  • Maintained thorough records of customer information, prepared detailed work payments, processed insurance claims, and collected balances from customers.
  • Adjusted and repaired new and previously purchased frames to satisfy customer demands.
  • Educated clients about how to adapt to, wear, and care for eyeglasses.
  • Applied sales and service expertise to promote contacts, glasses, sunglasses and accessories to office customers.
  • Adjusted frames to fit patient faces by bending and shaping with hands, tools, and heat.
  • Helped clients try on and select new frames and recommended lens options to meet specific needs.
  • Aided in selection of eyeglass frames based on customer preferences.

Education

American Truck Driver School
Ft Worth Tx

CDL License from Truck Driving
11.2014

University Overview

  • Relevant Coursework: [Subject] & [Subject]
  • Professional Development: [Subject]
  • Completed AP course in [Subject]
  • [Number] GPA
  • Ranked in Top [Number]% of class

WACO HIGH SCHOOL
Waco, TX

HIGH SCHOOL DIPLOMA

University Overview

  • Extracurricular Activities: [Activity]
  • [Student Organization or Club Name] Member

Hill Junior College
Hillsboro Texas

License Cosmetologist from Cosmetology
02.2000

University Overview

  • Dean's List [Semester and Year]
  • Relevant Coursework: [Subject] & [Subject]
  • Professional Development: [Subject]
  • [Number] GPA
  • Ranked in Top [Number]% of class

Royce City Dental Assistant School
Royse City, TX

Certified Dental Assistant from Dental Assistant
08.2012

University Overview

  • Relevant Coursework: [Subject] & [Subject]
  • Professional Development: [Subject]
  • Ranked in Top [Number]% of class
  • Honor Roll [Semester and Year]

Skills

  • Insurance verification (10years)
  • Sales (10 years)
  • Policy Knowledge
  • Settlement Determinations
  • Liability Determinations
  • Claims Procedures
  • Coverage Determination
  • Policy and Procedure Explanations
  • Insurance Claim Processing
  • Analyzing Claims
  • Microsoft Office
  • Claims Preparation
  • Insurance Terminology
  • Policy Requirements and Eligibility
  • Insurance Settlement Negotiation
  • Insurance Claim Processing Software
  • Electronic Authorization Processing

Additional Information

Additional Information
  • Willing to relocate: Anywhere, Authorized to work in the US for any employer
Availability
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Quote

Far and away the best prize that life offers is the chance to work hard at work worth doing.
Theodore Roosevelt

Timeline

Express Auto/Property Claims Associate
State Farm
01.2023 - Current
Eyewear Consultant
MyEyeDr.
03.2021 - 03.2023
OPTICIAN
CLEBURNE EYE CLINIC
08.2014 - 03.2021
American Truck Driver School
CDL License from Truck Driving
WACO HIGH SCHOOL
HIGH SCHOOL DIPLOMA
Hill Junior College
License Cosmetologist from Cosmetology
Royce City Dental Assistant School
Certified Dental Assistant from Dental Assistant
Kelly Kolacek-Heaton