KEYSHA YOUNG
Indianapolis,IN
Summary
Dedicated Customer Service Professional with over 30 years of experience in customer service, contract compliance, and conflict resolution. Delivered exceptional service and cultivated positive relationships while efficiently managing complex issues. Applied analytical skills in insurance investigations to enhance productivity and ensure thorough case handling, contributing to an improved retail environment.
Overview
20
20
years of professional experience
Work History
Workers' Compensation Claims Adjuster
Federated Insurance
01.2022 - Current
- Accurately process medical claims while meeting and exceeding quality and production standards.
- Served as primary contact for complex claims processing issues, demonstrating comprehensive knowledge of policies and procedures.
- Delivered exceptional telephone customer service, promoting a positive team environment and collaboration.
- Managed inbound calls from members and providers regarding medical insurance inquiries, verifying and identifying submitted technical coding.
Certificate Center Representative
Federated Insurance
01.2018 - 12.2021
- Established partnerships with new and existing insureds to facilitate certificate management.
- Delivering excellent customer service by understanding the insured's needs, reviewing and prioritizing the insureds certificate list while maintaining professionalism and timely processing based on the company service standards.
- Evaluated risk for insured and Federated by making informed underwriting decisions for policy certificates and endorsements.
- Elaborate pertinent information from legal contracts, accurately and efficiently.
- Acquired extensive knowledge of property and casualty insurance through research and training., the processes and systems as well as territories served.
Health Benefit Specialist
Federated Insurance
10.2007 - 01.2018
- Accurately process medical claims while meeting and exceeding quality and production standards.
- Served as point of contact for complex claims processing issues, leveraging comprehensive knowledge of policies and processes to resolve inquiries.
- Delivered exceptional telephone customer service, promoting positive interactions and collaborative teamwork.
- Responded to incoming calls to assist members and providers with medical insurance questions. from members and providers about medical insurance. Verifying and identifying technical coding submitted.
Health Benefit Specialist Assistant
Federated Insurance
08.2006 - 10.2007
- Executed outbound calls to insureds and providers to gather information necessary for accurate and timely claims processing
- Research members' medical insurance while helping to provide a basic level of understanding to members based on the questions asked.
- Entered paper claims with attention to detail
Education
Medical Coding and Terminology
INDIANA BUSINESS COLLEGE
High School Diploma -
PIKE HIGH SCHOOL
Skills
- Workers' comp claims
- Claims processing
- Claims management
- Claims analysis
- Policy underwriting
- Coverage assessment
- Compliance
- Compliance
- Provider management
- Records management
- Detail orientation
- Problem resolution
- Critical Thinking
- Problem Solving
- Customer Service
- Teamwork
- Product Knowledge
- Records management
Timeline
Workers' Compensation Claims Adjuster
Federated Insurance
01.2022 - Current
Certificate Center Representative
Federated Insurance
01.2018 - 12.2021
Health Benefit Specialist
Federated Insurance
10.2007 - 01.2018
Health Benefit Specialist Assistant
Federated Insurance
08.2006 - 10.2007
Medical Coding and Terminology
INDIANA BUSINESS COLLEGE
High School Diploma -
PIKE HIGH SCHOOL