Kirsten Derevage
Paris,MI
Summary
Results-driven claims supervisor with expertise in healthcare and dental claims processing. Strong background in customer service and IT support, adept at troubleshooting and ensuring compliance. Committed to delivering high-quality service and improving operational efficiency.
Overview
10
10
years of professional experience
Work History
Human Resources
University of Michigan
Ann Arbor, MI
08.2023 - Current
- Support members with Medicare Advantage and other health plan inquiries, helping them evaluate and select plans that best meet their medical and financial needs.
- Provide high-quality customer service via remote channels, ensuring timely and accurate responses to HR- and benefits-related questions.
- Serve as an IT support contact, troubleshooting a wide range of technical issues and guiding users through system and access problems.
- Document interactions and resolutions clearly to support continuity of care and service.
Claims Supervisor
Qualfon
Paris, MI
01.2019 - 08.2023
- Processed and reviewed dental and health insurance claims to ensure accuracy and compliance with plan guidelines.
- Identified and corrected claim errors, working closely with providers and members to resolve discrepancies.
- Provided technical support to customers, including basic IT troubleshooting and navigation assistance for online portals.
- Maintained high quality and productivity standards in a fast-paced, metric-driven environment.
Customer Service Representative
Concentrix
Paris, MI
01.2016 - 12.2018
- Resolved customer inquiries regarding insurance benefits and coverage options to enhance patient satisfaction.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Assisted customers with account inquiries, billing questions, and service issues with a professional and empathetic approach.
- Scheduled and managed appointments, ensuring accurate documentation and follow-up.
- Provided technical support and troubleshooting for customer devices and online services.
- Monitored claims and physician-related services, escalating issues appropriately.
- Handled order inquiries and billing disputes, focusing on first-contact resolution whenever possible.
Education
Associate of Science -
Ashland University
Ashland, Ohio, OH05-2019
Skills
- Customer Service & Support (7 years)
- Healthcare & Dental Claims Processing and Correction
- Medicare Advantage & Health Plan Support
- IT & Technical Support / Software Troubleshooting
- Human Resources & HR Sourcing
- Data Collection & Analysis
- Communication & De-escalation
- Remote Work & Virtual Collaboration
Timeline
Human Resources
University of Michigan
08.2023 - Current
Claims Supervisor
Qualfon
01.2019 - 08.2023
Customer Service Representative
Concentrix
01.2016 - 12.2018
Associate of Science -
Ashland University