Michelle Smith-Harris
Marion,IA
Summary
Dynamic Claims Specialist II at United Fire Group Inc, recognized for proactive decision-making and exceptional customer service. Proven track record in analyzing complex claims, implementing process improvements, and fostering strong relationships with external partners. Skilled in concise communication and committed to enhancing operational efficiency and client satisfaction.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Claims Specialists II
United Fire Group Inc
Cedar Rapids, IA
01.2015 - Current
- Analyzed complex claims to determine liability and coverage under policy terms.
- Collaborated with clients and adjusters to resolve issues and expedite claim processes.
- Reviewed documentation for accuracy, ensuring compliance with regulatory standards and company policies.
- Implemented process improvements, enhancing efficiency in claims handling and reducing turnaround times.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Support return-to-work opportunities for the insured and employees.
- Proactively seek resolution of claims by defining expectations early and often, managing processes focused on outcomes and engaging in direct negotiation, mediation, settlement conferences or hearings according to the jurisdictions.
Patient Account Representative
Radiology Consultants Of Iowa
Cedar Rapids, IA
07.2012 - 12.2015
- Processed patient accounts, ensuring accurate billing and adherence to insurance guidelines.
- Collaborated with healthcare providers to resolve account discrepancies and improve patient satisfaction.
- Managed inquiries regarding billing and payment options, enhancing customer service experience.
- Implemented workflow improvements that streamlined account reconciliation processes for increased efficiency.
Intake Medical Specialist
Principal Financial Services
Cedar Rapids, IA
03.1999 - 03.2012
- Collaborated with multidisciplinary teams to optimize healthcare delivery and improve patient outcomes.
- Provided detailed information on healthcare plans and services, ensuring clarity for patients and families.
- Gathered information, assessed and fulfilled callers' needs to approve hospital admissions or refer to a nurse case manager
- Communicated daily with physicians, clinics and hospitals, billing, medical records
- Recognized as a high performer 99.78% exceeding benchmark quality of 98.5%.
Sales Associate
Von Maur
Cedar Rapids, IA
11.2008 - 02.2010
- Delivered exceptional customer service to enhance shopping experience and foster loyalty.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
Patient Service Representative
UnityPoint Clinic
Cedar Rapids, IA
02.1995 - 03.1999
- Managed patient scheduling and appointment confirmations to enhance operational efficiency.
- Facilitated communication between patients and healthcare providers to ensure seamless service delivery.
- Processed patient registrations and insurance verifications with attention to detail for accuracy.
- Resolved patient inquiries and concerns promptly, fostering a positive clinic experience.
Education
High School Diploma - Medical Assistance
Kirkwood Community College
Cedar Rapids, IA05.1995
Skills
- Service-Oriented Mindset
- Actively demonstrate engagement in executing on claims
- Proactive Decision-making and Problem Solving
- lear on Concise Communication
- Customer service
Certification
Senior Claims Law Associate Designation 2020
Work Comp College Certificate December 15, 2025
All Lines Designated Adjuster Texas, Utah, Alabama, Mississippi, and Iowa
Timeline
Claims Specialists II
United Fire Group Inc
01.2015 - Current
Patient Account Representative
Radiology Consultants Of Iowa
07.2012 - 12.2015
Sales Associate
Von Maur
11.2008 - 02.2010
Intake Medical Specialist
Principal Financial Services
03.1999 - 03.2012
Patient Service Representative
UnityPoint Clinic
02.1995 - 03.1999
High School Diploma - Medical Assistance
Kirkwood Community College