Summary
Overview
Work History
Education
Skills
Timeline
Generic

Latisha Kelley-Cook

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Claims Supervisor position. Ready to help team achieve company goals.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

29
29
years of professional experience

Work History

Assistant Claims Manager

Mphasis
08.2019 - Current
  • Determined proper course of action for claims processing.
  • Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
  • Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
  • Managed daily inventory for examiners.
  • Conducted 1:1's monthly with examiners to review quality and production.

Medical Claims Supervisor

First Source Solutions Limited
09.2006 - 08.2019
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Researched and resolved complex medical claims issues to support timely processing.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Verified client information by analyzing existing evidence on file.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Coordinated with contracting department to resolve payer issues.

Senior Medical Claims Examiner

Great West Life Insurance
05.1994 - 08.2001
  • Paid or denied medical claims based upon established claims processing criteria.
  • Reviewed provider coding information to report services and verify correctness.
  • Monitored and updated claims status in claims processing system.
  • Processed insurance payments and maintained accurate documentation of payments.
  • Researched and resolved complex medical claims issues to support timely processing.

Education

Associate of Science - General Studies

Fort Scott Community College
Fort Scott, KS
05.1994

Skills

  • Detailed Evaluations
  • Health Insurance Industry Knowledge
  • Claims Adjustments
  • Information Assistance
  • Claims Investigation and Research
  • Generating Claims
  • Team Meetings
  • Spreadsheet Tracking
  • Internal Communications
  • Team Motivation
  • Monthly Inventory
  • Claims Analysis

Timeline

Assistant Claims Manager

Mphasis
08.2019 - Current

Medical Claims Supervisor

First Source Solutions Limited
09.2006 - 08.2019

Senior Medical Claims Examiner

Great West Life Insurance
05.1994 - 08.2001

Associate of Science - General Studies

Fort Scott Community College

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Latisha Kelley-Cook