LAUREN M. SWINTY
Honey Brook,PA
Summary
Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering over 10 years of experience and willingness to take on any challenge.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Account Manager
AssuredPartners
03.2022 - 10.2022
- Developed complete client information and applications for new and renewal business under the direction of the Producer and Account Executive.
- Processed change requests/endorsements, binders, certificates of insurance, auto id cards, account summaries, proposals, policies, lost policy releases, audit, and account balance status when requested.
- Maintained files with proper records according to company procedures. Maintained good internal file audit results.
- Assisted in the development of solid business relationships with appropriate insurance carrier personnel. Recognized and satisfied carrier goals and objectives to enhance business relationships.
- Ensured accuracy of account information for new and renewal policies, endorsements, and audits for accuracy in rating, coverage, and signatures, and entered those transactions to generate billing invoices promptly.
- Reviewed all premium audits according to Agency procedures to recognize that the Agency must process them promptly.
Billing Administrator
MBMS, Medical Billing Management Services
11.2019 - 03.2022
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills
- Resolved financial discrepancies effectively through organizational management of account information using Resolve, Epic, RIS software
- Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities
- Managed supervisor itinerary and appointments and streamlined scheduling procedures
- Prepared daily financial and accounts receivable reports to assist business leaders with key decision making and strategic operational planning
- Established and updated work schedules to account for changing staff levels and expected workloads
- Built highly-efficient administrative team through ongoing coaching and professional development opportunities
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
- Implemented project management techniques to overcome obstacles and increase team productivity
- Prepared and submitted monthly billing reports to management for financial overview
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel
- Worked with multiple departments to check proper billing information
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction
Personal Lines Claim Adjuster
Hartford Steam Boiler
02.2015 - 02.2018
- Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio
- Resolve complex, severe exposure claims, using high service-oriented file handling
- Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims
- Maintained contact with claimants to determine repair and/or replacement status
- Reviewed new files to determine current status of claim and to develop plan of action
- If available, reviewed police reports, medical treatment records and physical property damage to determine extent of liability
- Examined policy wording, evaluated insurance policies and other records to determine insurance coverage
- Organized, planned, and documented materials for all claims
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information
- Trained staff members on proper handling and evaluation of property and equipment claims.
Account Manager
DaVita
03.2012 - 01.2015
- Review records and reports pertaining to activities such as production, monitor work activities, or evaluate performance
- Prepare and issue deadlines, and duty assignments for projects
- Research, compile, and prepare reports, or other information required by Vice President
- Check figures, postings, and documents for correct entry, mathematical accuracy, and proper codes
- Classify, record, and summarize numerical and financial data to compile and keep financial records
- Reconcile or note and report discrepancies found in records
- Addressed problems with accounting, billing and service delivery to maintain and enhance client satisfaction
- Elevated account management by predicting potential competitive threats and outlining proactive solutions.
Medical Billing Supervisor
FOI Solutions
01.2009 - 03.2012
- Trained new employees on multiple medical billing programs and data entry software
- Reviewed charts and flagged incomplete or inaccurate information
- Communicated effectively with staff, patients and insurance companies by email and telephone
- Used classification manuals to gain additional knowledge of disease and diagnoses processes
- Conducted performance reviews and implemented improvement plans
- Reviewed billing problems, researched issues and resolved concerns
- Established and developed highly efficient and dependable administrative team by delivering ongoing coaching and motivation and fostering career advancement
- Performed billing, collection and reporting functions for office of 7 clients
- Delivered expert support by efficiently handling wide range of routine and special requirements.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates
Education
Accounting And Business Management
South University
Skills
- Payroll
- Personal, casualty and property loss
- Insurance policy coverage knowledge
- Team Training
- Strategic Planning
- Relationship development
- Medical billing code accuracy
- Policy investigations
- Payment Collecting
Certification
- Licensed - PA Property & Casualty
Timeline
Account Manager
AssuredPartners
03.2022 - 10.2022
Billing Administrator
MBMS, Medical Billing Management Services
11.2019 - 03.2022
Personal Lines Claim Adjuster
Hartford Steam Boiler
02.2015 - 02.2018
Account Manager
DaVita
03.2012 - 01.2015
Medical Billing Supervisor
FOI Solutions
01.2009 - 03.2012
Accounting And Business Management
South University
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