Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Mary Dorsey

Trussville

Summary

Dynamic Claims Authorizer at SSA with a proven track record in streamlining authorization processes, enhancing client satisfaction, and mentoring teams. Expert in compliance reporting and customer relationship management, I successfully reduced wait times and improved accuracy, fostering a collaborative environment that drives performance and efficiency.

Overview

2005
2005
years of professional experience
1
1
Certification

Work History

Claims Authorizer

SSA
  • Maintained updated knowledge of industry regulations, policies, and best practices to provide informed guidance to clients.
  • Streamlined the authorization process for faster approvals, resulting in reduced wait times for clients.
  • Developed training materials and conducted workshops for new employees, improving team productivity and performance.
  • Established strong professional relationships with key stakeholders, fostering effective communication channels for seamless operations.
  • Engaged with customers and delivered quality service.
  • Collaborated with various departments to ensure timely processing of requests and documentation.
  • Mentored junior colleagues on best practices within the field of authorizations, cultivating a supportive learning environment.
  • De-escalated upset and frustrated customers.
  • Identified potential risks or areas of concern during the authorization process, addressing them proactively to avoid delays or complications.
  • Implemented a tracking system for authorization requests, increasing transparency and accountability within the team.
  • Participated in regular audits of authorization processes to ensure compliance with regulatory standards.
  • Reduced errors in authorization documents by implementing a rigorous quality control process before submission.
  • Assisted clients with complex cases by providing expert advice on navigating the authorization process successfully.
  • Served as a subject matter expert in providing guidance to both internal team members and external clients on authorization-related matters.
  • Informed customers of non-covered claims and explained reason why.
  • Conducted thorough research on eligibility criteria and requirements, ensuring accurate decision-making in authorizations.
  • Enhanced client satisfaction by providing efficient and accurate authorization services.
  • Consistently met or exceeded performance targets related to timeliness and accuracy in granting authorizations.
  • Coordinated cross-functional projects aimed at streamlining workflows and improving overall efficiency within the authorization department.
  • Organized internal workshops on policy updates, keeping the team up-to-date on relevant changes affecting their work.
  • Provided valuable feedback on system improvements that resulted in increased automation and reduced manual intervention.
  • Resolved escalated issues promptly, maintaining high levels of customer satisfaction and trust in our services.
  • Updated client accounts with new information and verified data for informed credit approvals.
  • Verified application and account details to accurately asses credit and financial risks of potential clients.
  • Monitored accounts for signs of fraud and non-payment issues.
  • Contacted clients about verifying account information and updated services, answered questions and resolved concerns to uphold exceptional customer service standards and promote brand loyalty.
  • Investigated and evaluated customers for creditworthiness and potential risk factors.
  • Prepared reports of findings and recommendations.
  • Maintained full knowledge of current regulatory environment and made proactive adjustments to meet changing requirements.
  • Managed account data and verified information with clients, past creditors and other involved parties.
  • Attended ongoing professional training to facilitate accurate and productive credit management.
  • Motivated and encouraged staff to enhance productivity and meet demanding internal and customer targets.

Post Entitlement Technical Expert

SSA
06.1980 - 01.2005
  • Maintained updated knowledge of industry regulations, policies, and best practices to provide informed guidance to clients.
  • Streamlined the authorization process for faster approvals, resulting in reduced wait times for clients.
  • Developed training materials and conducted workshops for new employees, improving team productivity and performance.
  • Established strong professional relationships with key stakeholders, fostering effective communication channels for seamless operations.
  • Engaged with customers and delivered quality service.
  • Collaborated with various departments to ensure timely processing of requests and documentation.
  • Mentored junior colleagues on best practices within the field of authorizations, cultivating a supportive learning environment.
  • De-escalated upset and frustrated customers.
  • Identified potential risks or areas of concern during the authorization process, addressing them proactively to avoid delays or complications.
  • Implemented a tracking system for authorization requests, increasing transparency and accountability within the team.
  • Participated in regular audits of authorization processes to ensure compliance with regulatory standards.
  • Reduced errors in authorization documents by implementing a rigorous quality control process before submission.
  • Assisted clients with complex cases by providing expert advice on navigating the authorization process successfully.
  • Served as a subject matter expert in providing guidance to both internal team members and external clients on authorization-related matters.
  • Informed customers of non-covered claims and explained reason why.
  • Conducted thorough research on eligibility criteria and requirements, ensuring accurate decision-making in authorizations.
  • Enhanced client satisfaction by providing efficient and accurate authorization services.
  • Consistently met or exceeded performance targets related to timeliness and accuracy in granting authorizations.
  • Coordinated cross-functional projects aimed at streamlining workflows and improving overall efficiency within the authorization department.
  • Organized internal workshops on policy updates, keeping the team up-to-date on relevant changes affecting their work.
  • Provided valuable feedback on system improvements that resulted in increased automation and reduced manual intervention.
  • Resolved escalated issues promptly, maintaining high levels of customer satisfaction and trust in our services.
  • Updated client accounts with new information and verified data for informed credit approvals.
  • Verified application and account details to accurately asses credit and financial risks of potential clients.
  • Monitored accounts for signs of fraud and non-payment issues.
  • Contacted clients about verifying account information and updated services, answered questions and resolved concerns to uphold exceptional customer service standards and promote brand loyalty.
  • Investigated and evaluated customers for creditworthiness and potential risk factors.
  • Prepared reports of findings and recommendations.
  • Maintained full knowledge of current regulatory environment and made proactive adjustments to meet changing requirements.
  • Managed account data and verified information with clients, past creditors and other involved parties.
  • Attended ongoing professional training to facilitate accurate and productive credit management.
  • Motivated and encouraged staff to enhance productivity and meet demanding internal and customer targets.

Education

Associate Of Applied Business - Mathematical Sciences

Jefferson State Community College
Birmingham, AL
01.1977

Associate Of Applied Business - Accounting

John C Calhoun Jr College
Huntsville, AL
03.1968

Skills

  • Vulnerability assessment
  • System monitoring
  • Security awareness training
  • Physical security
  • Access control
  • Compliance reporting
  • Asset management
  • Authorization protocols
  • Security analysis
  • Secure coding
  • Business continuity
  • Teamwork and collaboration
  • Customer service
  • Problem-solving
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Multitasking Abilities
  • Excellent communication
  • Team collaboration
  • Decision-making skills
  • Effective communication
  • Adaptability and flexibility
  • Decision-making
  • Team building
  • Interpersonal skills
  • Customer relationship management
  • Computer literacy
  • Document preparation
  • Quality control
  • Time management abilities
  • Document processing
  • Appraisal review
  • Written communication
  • Paperwork processing
  • Policy analysis
  • Administrative management
  • Compliance monitoring
  • Performance improvements
  • Policy application
  • Professional demeanor
  • Dispute resolution
  • Audit support
  • Expertise in software which entails training in new software updates to 34 employees under my expertise

Certification

Received several performance awards in my expertise and knowledge of claims and award processing.

Timeline

Post Entitlement Technical Expert

SSA
06.1980 - 01.2005

Claims Authorizer

SSA

Associate Of Applied Business - Mathematical Sciences

Jefferson State Community College

Associate Of Applied Business - Accounting

John C Calhoun Jr College

Similar Profiles

CREATE PROFILE