Kiara Robertson

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• Followed up with customers about resolved issues to maintain high standards of customer service.
• Promptly responded to inquiries and requests from prospective customers.
• Enhanced productivity levels by anticipating needs and delivering outstanding support.
• Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
• Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
• Managed claims, subrogation, liability reserve setting, negotiating and liability litigation support.
• Prepared and presented claims to other insurance companies and collaborated to gain necessary information to resolve claims.
• Investigated origin and cause of claims by contacting appropriate parties.
• Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
• Implemented open enrollment system to streamline benefits processes for employees.
• Inbound/outbound calls- 60+ calls a day- metrics

• Maintained personnel records and updated internal databases to support document management.
• Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
• Organized and updated databases, records and other information resources.
• Improved office operations by automating client correspondence, record tracking and data communications.
• Submitted claims to insurance companies on same day as patient treatment.
• Managed claims, subrogation, liability reserve setting, negotiating and liability litigation support.
• Prepared and presented claims to other insurance companies and collaborated to gain necessary information to resolve claims.
• Gathered and summarized supplemental billing information to accommodate customer billing requirements.
• Handled billing and payment issues by following guidelines and resolving disputes.
• Communicated regularly with patients about billing issues, appointments, and procedures.
• Proven ability to learn quickly and adapt to new situations.enrollment audits
• Worked well in a team setting, providing support and guidance.

• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Assisted members with correcting account, service, and system issues by educating on required forms and technical processes.
• Opened customer accounts and provided deposit and withdrawal receipts.
• Resolved customer issues through thorough dispute investigation.
• Pre- authorization and referral status
QuotingtBenefitsfits, claim status, check tracer, refunds Salesales Medicarecare Claimsaims Benefitsfits Accumulationsions
• HIIPA complaint