Summary
Overview
Work History
Education
Skills
Work Availability
Accomplishments
Work Preference
Quote
Software
Languages
Affiliations
Interests
Timeline
ProjectManager
Kimberly Grisham

Kimberly Grisham

Claims Processor
Galveston,TX - Texas

Summary

Adept at managing high-stakes situations, I excelled at TTEC @HOME, mastering claims processing and customer service. My knack for reducing call resolution times by enhancing problem-solving techniques showcases my analytical prowess and empathetic communication, skills highly sought after in dynamic environments. Achieved notable first-call resolution rates, demonstrating my commitment to excellence and continuous improvement.

Results-driven professional with comprehensive background in claims management and proven ability to streamline processes. Known for collaborative approach and adaptability to evolving needs, ensuring smooth operations and goal attainment. Highly proficient in data analysis and problem-solving, valued for reliability and commitment to excellence.

Overview

6
6

Years of professional experience 2018 - Current

10
10

Years of nursing experience 1992-2002

Work History

Customer Service Representative

TTEC @HOME
06.2024 - Current
  • Demonstrated excellent multitasking abilities by simultaneously handling multiple tasks such as navigating systems, taking notes on calls, and answering inquiries from clients.
  • Reduced call resolution time through efficient problem-solving and communication skills.
  • Exceeded first-call resolution targets by actively listening to customers'' concerns and addressing them thoroughly.

Claims Processor

TTEC @HOME
09.2020 - 05.2024
  • 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.
  • Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
  • Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.

Customer Service Representative

TTEC @Home
04.2020 - 08.2020
  • Demonstrated excellent multitasking abilities by simultaneously handling multiple tasks such as navigating systems, taking notes on calls, and answering inquiries from clients.
  • Collaborated with other departments when necessary, ensuring seamless support for customers across multiple areas.

Customer Service Representative

Ttec (TeleTech) - HealthCare Solutions
09.2018 - 03.2020
  • Responded to customer requests for products, services, and company information.
  • Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
  • Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.

Education

Certificate of Vocational Nursing - Nursing

San Jacinto College
Pasadena, TX
03-1992

High School Diploma -

Angelina College
Lufkin, TX
06-1990

Skills

  • Claims Management
  • Claims Submission
  • Claims Analysis Expertise
  • Claims reviewing
  • Claims Handling Familiarity
  • Claims Handling Experience
  • Denied claims identification
  • Claims Processing Expertise
  • Claims Drafting
  • Claims Evaluation Proficiency
  • Claims handling knowledge
  • Claims investigation and research

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Work Preference

Work Type

Full TimePart Time

Work Location

RemoteHybrid

Quote

Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less.
Marie Curie

Software

Word

Some Excel

General Computer Skills

Languages

English
Native or Bilingual

Affiliations

  • Moody Methodist Church

Interests

Technology - SQL and Excel

Timeline

Customer Service Representative

TTEC @HOME
06.2024 - Current

Claims Processor

TTEC @HOME
09.2020 - 05.2024

Customer Service Representative

TTEC @Home
04.2020 - 08.2020

Customer Service Representative

Ttec (TeleTech) - HealthCare Solutions
09.2018 - 03.2020

Certificate of Vocational Nursing - Nursing

San Jacinto College

High School Diploma -

Angelina College
Kimberly GrishamClaims Processor