Seasoned collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills.
Overview
10
10
years of professional experience
Work History
Insurance Claims Advocate
SHARx
06.2021 - Current
Accessed multiple databases to investigate customer questions and concerns
Examined reports, accounts and evidence to determine integrity and accuracy of information
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Identified key areas not performing well and implemented effective, new processes.
Delivered exceptional customer service during all stages of the claim process, fostering positive relationships with clients.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Collaborated with cross-functional teams to develop strategies for minimizing risk exposure and managing potential liabilities.
Provided expert guidance to junior analysts on complex claims investigations and resolution strategies, enhancing team performance overall.
Contributed to the company''s overall success by consistently meeting or exceeding performance metrics in the areas of claim handling efficiency, customer satisfaction, and loss prevention.
Activity Coordinator
LSS (Breeze Park)
04.2019 - 08.2020
Maintained and ordered supplies for activities
Sought and obtained community opportunities for cultural and recreational participation and safely transported residents to and from locations
Contributed to resident care planning by participating in assessment, developing service plan goals and maintaining progress notes
Encouraged, supported and assisted residents with activities and documented activity attendance and degree of involvement
Answering inbound and outbound calls for center
Coordinated, planned, developed and implemented activities designed to enrich lives of assisted living residents
Developed and deepened partnerships with related organizations to enhance success by eliminating duplication.
Coordinator/ Scheduler
Age At Home LLC
03.2016 - 05.2019
Gathered and organized materials to support operations.
Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Organized spaces, materials and catering support for internal and client-focused meetings.
Developed comprehensive reports for senior management, enabling informed decision-making based on data-driven insights.
Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
Entered data, generated reports, and produced tracking documents.
Enhanced customer satisfaction by responding promptly to inquiries and addressing concerns professionally.
Certified Nursing Assistant
LSS (Laciede Groves)
11.2013 - 03.2016
Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment
Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing
Checked patient vitals such as temperature, blood pressure and blood sugar levels
Assisted with feeding and monitored intake to help patients achieve nutritional objectives
Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs
Cared for residents in assisted living facility and delivered high-quality support to meet needs
Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms
Supported ambulation and physical therapy needs by conducting planned exercise routines.