Kerry Edwards

• Provide administrative and operational support across multiple departments, ensuring seamless daily operations.
• Manage document management, data entry, and scheduling tasks to improve overall office efficiency.
• Coordinate cross-functional team collaboration for special projects, ensuring clear communication and timely delivery of objectives.
• Assist in vendor management and liaison responsibilities, ensuring high-quality service delivery, and compliance with service agreements.
• Maintain detailed documentation and organizational systems to support office procedures and legal operations

• Processed complex financial claims and appeals, ensuring accurate data entry into federal claims systems.
• Maintained meticulous records, documentation, and case files for compliance audits.
• Resolved discrepancies and conducted follow-up to support timely and accurate benefit payments.
• Collaborated with internal teams to resolve escalated account issues efficiently.
• Exceeded KPIs for claim resolution accuracy, and call quality.

• Supported finance and billing teams by reviewing claim data, verifying member eligibility, and investigating account discrepancies.
• Managed high-volume data processing tasks and documentation for claims and appeals.
• Interpreted EOBs and payment reports to assist members and providers.
• Assisted customers in understanding insurance policies and next steps for appeals

• Managed insurance claim reviews, billing escalations, and benefit verification for health plan members.

• Served as a subject matter expert on coverage eligibility, interpreting plan documents and advising on claims decisions.

• Provided policy education to members and internal teams to reduce appeal volumes and improve claim transparency.

• Delivered crisis intervention and assessment services for individuals in long-term care and community mental health settings.

• Created individualized care and recovery plans in collaboration with healthcare professionals.

• Facilitated access to critical community services and ensured timely documentation of case records

• Processed adjustments, offsets, and financial reconciliations for high-volume claims.
• Conducted audits to identify and correct discrepancies, ensuring compliance with financial guidelines.
• Entered financial and claims data into systems, supporting timely and accurate payments.
• Drafted process documentation and training materials to improve AP workflows.

• Led sales and customer care teams in a fast-paced call center environment.

• Delivered coaching, monitored KPIs, and drove performance aligned with service standards.

• Supervised and scheduled team members, managing daily time records and performance tracking in accordance with corporate policy.

• Trained new hires on timekeeping software, sales systems, and compliance protocols.

• Maintained staffing and scheduling reports critical for payroll processing and department-level operations.

• Managed team recruitment, onboarding, and performance development.