Hi, I’m
Marie Eaton
Durham,NC
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. To bring organization enthusiasm, dedication, responsibility, and good work ethic, combined with a desire to utilize my skills obtained through experience. In an established company whose focus is quality, customer service, and teamwork. Skilled in building bridges and cementing connections with business accounts to serve needs, strengthen loyalty and drive competitive growth.
Overview
17
years of professional experience
Work History
Eteam/Maryland Dept Of EmploymentRemote
Claims Processor
08.2021 - 08.2022
Job overview
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Managed workload and priorities to meet claims processing meet deadlines.
Expert Technical Advisors
Asurion
06.2019 - 12.2020
Job overview
- Followed up with clients to verify optimal customer satisfaction following support engagement and problem resolution.
- Broke down and evaluated user problems, using test scripts, personal expertise and probing questions.
- Increased sales by educating prospects on benefits of products and services in comparison to competitors.
- Identified issues, analyzed information and provided solutions to problems.
- Configured hardware, devices and software to set up work stations for employees.
IBM- Seterus Inc.
Foreclosure Legal Assistant
08.2015 - 05.2019
Job overview
- Worked alongside attorneys, administrative assistants and fellow legal assistants on complex cases and legal processes.
- Managed accounts and client records of clients, observing confidentiality and extreme discretion.
- Handled office scheduling and made notes for deadlines, motions and other important dates.
- Prepared for trials, conducting legal research and drafting pleadings.
- Updated company software with skip trace results.
EDS
Claim Analyst
11.2008 - 07.2015
Job overview
- Answering incoming calls from healthcare providers about Medicaid and Medicaid claims.
- Educated providers on why claims were denied and assisted with how they can resubmit the claims.
- Educated providers on NC Medicaid policies, guidelines, and requirements.
- The position is in a call center environment where call volumes fluctuate.
- Performance is measured based on combination of quality, timeliness, and availability to the customer.
- Acts as initial contact for providers requiring Medicaid claim assistance.
- Accurately receive, research, and resolve most provider inquiries.
- If an inquiry cannot be resolved at point of contact, tracks the inquiry to completion through the appropriate departments.
Manpower Services
Insurance Specialist
04.2007 - 10.2008
Job overview
- Investigate status of ambulance claims submitted for payment, Update and verify insurance and billing information.
- Update and submit claims to the payer or insurance provider that have been denied payment.
IBM, Manpower
Dealer Reporting Analyst
08.2005 - 04.2007
Job overview
- Data entry, report creation/analysis, data reconciliation, limited problem resolution.
- Then used the verified information to match revenue to sales for sales reps to receive commission.
- Also, used similar reports to match sales to revenue for customers to receive rebates.
- Maintained files, data entry daily.
Education
Vance Granville Community College
GED
Durham Technical Community CollegeDurham, NC
No Degree from Medical Insurance Coding
Strayer UniversityOnline
Bachelor of Science from Biology
04.2026
Skills
- Application support
- Software diagnosis
- Technical issues analysis
- Technical documents comprehension
- Customer service expert
- Staff education and training
- Adaptability
- Microsoft Office
- Organization and Time management
- Computer proficiency
- Work Organizing and Prioritizing
- Customer Relationship Management
Timeline
Claims Processor
Eteam/Maryland Dept Of Employment
08.2021 - 08.2022
Asurion
Expert Technical Advisors
06.2019 - 12.2020
Foreclosure Legal Assistant
IBM- Seterus Inc.
08.2015 - 05.2019
Claim Analyst
EDS
11.2008 - 07.2015
Insurance Specialist
Manpower Services
04.2007 - 10.2008
Dealer Reporting Analyst
IBM, Manpower
08.2005 - 04.2007
Vance Granville Community College
GED
Durham Technical Community College
No Degree from Medical Insurance Coding
Strayer University
Bachelor of Science from Biology