Lanicia Cato
Jersey City
Summary
Dynamic professional with extensive experience in claims analysis and customer service. Skilled in documentation review, with expertise in Epic software and meticulous attention to detail. Proven ability to analyze claims and enhance customer service through effective communication and problem-solving skills.
Overview
11
11
years of professional experience
Work History
Claims Analyst
RTR Financial Services
Staten Island
05.2021 - 07.2025
- Analyzed insurance claims for compliance with company policies and industry regulations.
- Reviewed documentation to determine claim eligibility and accuracy of information.
- Collaborated with team members to streamline claims processing workflows.
- Updated billing for certain insurance carriers based on expected reimbursement.
- Verified and updated member demographic/eligablity information.
- Calling Insurance carriers for claim/appeal status,authorization information.
- Documanting calls and taking detiled notes on provided information via Epic.
Sales Representative Manager
Metro by T-Mobile
Jersey City
11.2014 - 05.2021
- Managed daily operations of sales team to ensure effective performance.
- Trained new sales representatives on product knowledge and customer service skills.
- Oversaw inventory management, ensuring stock levels met customer demand.
- Fostered a positive team environment through mentoring and support initiatives.
- Provided ongoing support for existing customers by addressing inquiries, resolving issues, and upselling additional products or services.
- Resolved conflicts between customers and company representatives.
Education
Associate of Science - Psychology
Hudson County Community College
Jersey City, NJTechnology
Desert Pines H.S
Las Vegas, NV06-2013
Skills
- EPIC software
- Documentation review
- Customer Service
- Inventory management
- Problem solving
- Attention to detail
- Effective communication
- Time management
- MS office
- Detail orientation
Timeline
Claims Analyst
RTR Financial Services
05.2021 - 07.2025
Sales Representative Manager
Metro by T-Mobile
11.2014 - 05.2021
Associate of Science - Psychology
Hudson County Community College
Technology
Desert Pines H.S