Ladria Officer
Williamsburg,USA
Summary
Goal orientated and dedicated to high levels of customer satisfaction. Energetic and motivating leader with proven ability to effectively learn new projects. Self-starter and strong independent worker. Excel at analyzing products and procedures to generate new ideas to improve efficiently and production quality.
Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service. Recognized for reliability and achieving results in team environments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Processor
Sutherland
04.2022 - Current
- Assessed pricing and processing of medical insurance claims received from healthcare practitioners.
- 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.
- Managed workload and priorities to meet claims processing meet deadlines.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Utilized specialized software to process incoming claims, enter data and generate reports.
Housekeeping Manager
Williamsburg Lodge Autograph Collection
03.2016 - 02.2020
- Establish standards and procedures for the 323-room property for housekeeping staff, and plan work schedules to assure adequate service
- Inspect and evaluate physical condition of establishment and submit to management for recommendations for painting, repairs and furnishing
- Controlled MPR to assure the budget was meet
- Supplied training to all staff members and established safe working conditions
- Understand, maintained and execute hotel policy
- Selected and recruited employees for housekeeping
- Managed inventory levels effectively, ensuring adequate supplies for daily operations while minimizing waste and costs.
- Managed team productivity and workflow to exceed quality standards.
- Collaborated with other departments to coordinate special events and ensure seamless execution of services across all areas of the hotel.
Education
College Credits - social science
Thomas Nelson Community College
Newport News, VA04.2017
Skills
- Detail Orientated
- Manage time efficiently
- Decision Making Skills
- Computer Networking
- Microsoft Windows
- Ability to navigate through various screens
- Operating Systems
- Claims review
- Accuracy and precision
- Transactions reconciliation
- Claims
- Claims processing software
- Policy interpretation
- Professionalism and ethics
- Regulatory compliance
- Medical terminology
- Data entry proficiency
- Critical evaluation
- Allocating claims
- Attention to detail
- Data entry
- Critical thinking
Certification
- Computer networking, Present
- Notary Public, 10/01/22, 11/01/26
Timeline
Claims Processor
Sutherland
04.2022 - Current
Housekeeping Manager
Williamsburg Lodge Autograph Collection
03.2016 - 02.2020
- Computer networking, Present
- Notary Public, 10/01/22, 11/01/26
College Credits - social science
Thomas Nelson Community College
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