Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Work History
Van Operator
1 Year 2 Months
BI State Development | 08.2025 - Current
Transport passengers over varying routes to local or distant points according to time schedule
Maintain excellent relations with public
Guide and manage passenger behavior during rides
Assists disabled and elderly passengers on and off Van
Evacuate passengers in case of emergency
Operating wheelchair lift and hand radio
Complete cash tickets, fares, and make daily deposit
Develop efficient routes between points, report vehicular delays or accidents
Write accident, incident reports, and daily reports on passengers, fares and vehicle status.
Operated and maintained vehicles to ensure safe transportation of materials and personnel.
Conducted routine inspections to verify vehicle compliance with safety regulations.
OWNER / OPERATOR MANAGER
7 Years 9 Months
PinPoint Cleaning, LLC | 01.2019 - Current
Followed up on daily assignments and conducted counseling or disciplinary actions to maintain team performance.
Conducted audits on keys and payroll records to ensure accuracy and compliance.
Communicated all project maintenance and cleaning challenges
Ensure all projects, maintenance or cleaning challenges are communicated
Ensure all projects' maintenance of cleaning challenges are communicated and completed in a a timely manner
Follow up on daily assignments, conduct counseling or disciplinary action
Ensure all projects' maintenance of cleaning challenges are communicated and completed in a timely manner
Managed daily operations to deliver efficient service and enhance customer satisfaction.
Claims Associate
7 Years 4 Months
Sedgwick Claims Management | 03.2018 - 07.2025
Gathered medical records and other documentation to support claim decisions.
Provided customer service to claimants, employers, insurance companies, attorneys. regarding their inquiries or requests for assistance.
Processed claims for payment or forwarded to appropriate personnel for further investigation.
Updated claim notes throughout the life cycle of a case file.
Communicates claim action/processing with claimant, client and appropriate medical contact.
Analyzed data from medical exams and interviews to identify potential fraud or abuse cases.
Ensured accurate coding during data entry into system databases to maintain compliance and integrity.
Oversee sensitive information in accordance with company policy and HIPAA regulations.
Processed claims for payment and forwarded to appropriate personnel for further investigation as necessary.
Adjust medical-only claims and minor lost-time workers compensation claims under close supervision.
Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.
Analyzed data collected from various sources such as medical exams, interviews., to make informed decisions about potential fraud or abuse cases.
Processed payments made by insurance companies according to established protocols.
Ensure claim files are properly documented, and claims coding is correct.
Maintained professional relationships with clients to enhance service delivery..
Admission Associate/Insurance Verifier
4 Years 4 Months
SSM Health | 10.2013 - 02.2018
Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Verified patient insurance coverage prior to procedures or appointment scheduling.
Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
Contacted insurance companies to obtain pertinent information regarding policies and payment benefits for patients.
Coordinated insurance benefits for patients with multiple plans. with other plans including Medicare
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Collaborated with billing specialists and medical coders to resolve discrepancies in patient insurance information.
Updated patient and insurance data and input changes into company computer system.
Administrative Assistant
5 Years 9 Months
DaVita Dialysis | 01.2008 - 10.2013
Organized and maintained filing systems for physical and electronic documents, ensuring accurate and confidential record-keeping.
Composed letters, memos, reports, emails, and presentations for management staff.
Managed incoming calls, providing information and directing callers to appropriate personnel, enhancing communication flow.
Maintained office supplies inventory by assessing stock levels, anticipating needs, and placing orders to ensure uninterrupted supply.
Ensured efficient operation of office equipment such as printers, copiers, and fax machines.
Responded effectively to sensitive inquiries or complaints.
Reacted swiftly to emergency situations, ensuring safety and proper handling of incidents.
Processed samples accurately and efficiently.
Followed all safety protocols when handling hazardous materials.
Monitored inventory levels of supplies used in phlebotomy services.
Prepared specimens for transport to external laboratories.
Adhered to HIPAA guidelines regarding patient privacy.
Responded quickly and effectively to emergency situations.
Prepared and packaged specimens for courier transport.
Education
Associate Degree - General Studies
Columbia College of St. Louis
Skills
Class B license with endorsements
Route
Claims management
Insurance verification
Safety Compliance
Data Entry
Microsoft Office
Microsoft outlook
word
and Excel
Coordinating documents
Record keeping
Customer Service
Professional courtesy
Claims Management
Team Collaboration
Claims management
Supervising
HIPAA compliance
Microsoft Office Suite
Certification
Class B with Passenger, School Bus, Tankers and HazMat with TWIC card
School Bus Driver / Transportation coordinator at Mckinleyville Union School DistrictSchool Bus Driver / Transportation coordinator at Mckinleyville Union School District