Lyn Williams
Charleston
Summary
Customer service professional with specialization in claims recovery and automation, achieving significant results at UMR. Proficient in SQL and RESTful APIs, leading to enhanced processing efficiency and increased member satisfaction. Experienced in technical support and onboarding, driving product adoption and ensuring compliance with industry standards.
Overview
15
15
years of professional experience
Work History
Customer Service Representative
Innosource
Hurricane
06.2022 - 03.2023
- Resolved service outages and facilitated new service setups using CRM systems and cloud-based databases to enhance customer experience.
- Delivered technical support that improved resolution time while ensuring privacy and compliance.
- Led onboarding sessions for new clients, integrating RESTful API guidelines to drive product adoption.
Claims Service Representative, Claims Specialist
UMR (UnitedHealthcare Services, Inc.)
Charleston
04.2018 - 02.2020
- Investigated denied claims and secured reimbursements, improving overall claims recovery through strategic follow-ups.
- Streamlined claim adjudication processes by deploying automation scripts, achieving a 15% reduction in processing time.
- Processed and submitted medical claims with 98% accuracy, utilizing SQL queries for data validation to ensure compliance.
Claims Service Representative III
Capital Area Services Co Inc. (CASCI)
Charleston
11.2007 - 11.2016
- Processed claims via insurance portals and EDI transactions, ensuring 95% on-time reimbursement and compliance with HIPAA regulations.
- Managed online requests and chat inquiries, increasing member satisfaction by 18% through policy verification and benefit analysis.
- Enhanced web services integration for real-time data communication, improving response times across customer support channels.
Education
High School Diploma -
Capital High School
Charleston, WV05-2000
Skills
- Customer support
- Customer relationship management
- Real-time support
- Communication tools
- Data entry
- Troubleshooting and data validation
- Data analysis
- Customer feedback
Timeline
Customer Service Representative
Innosource
06.2022 - 03.2023
Claims Service Representative, Claims Specialist
UMR (UnitedHealthcare Services, Inc.)
04.2018 - 02.2020
Claims Service Representative III
Capital Area Services Co Inc. (CASCI)
11.2007 - 11.2016
High School Diploma -
Capital High School