Mohamed Toure
Canal Winchester
Summary
Authorized to work in the US for any employer.
Overview
6
6
years of professional experience
Work History
Claims Processor
Kimball Midwest
Columbus
07.2024 - Current
- Reconciled payment discrepancies between provider statements and remittance advice from payers.
- Identified trends in denials or rejections due to incorrect coding or billing practices by providers.
- Managed escalated customer complaints pertaining to denied or delayed payments in a timely manner.
- Maintained accurate records of all processed claims in accordance with departmental requirements.
Customer Care Representative
Safelite
COLUMBUS
01.2022 - 06.2024
- Maintained a detailed record of all customer interactions, transactions, comments, and complaints.
- Performed administrative duties such as filing paperwork, maintaining records, updating databases.
- Answered customer inquiries over the phone and via email.
Claims Analyst
EPIQ
DUBLIN
05.2020 - 11.2021
- Managed escalated cases involving high-value claims or multiple parties involved.
- Verified documents to ensure accuracy of information provided by customers.
- Reviewed appeals filed by claimants who were dissatisfied with initial decisions made concerning their cases.
- Participated in claims audit processes to ensure compliance with internal and external standards.
Customer Service Representative
Morgan Stanley
COLUMBUS
03.2019 - 03.2020
- Identified opportunities for upselling additional products or services based on customer needs.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Provided accurate information about products and services to customers.
Education
High School Diploma -
WHITEHALL YEARLING HIGH SCHOOL
WHITEHALL OH06-2013
Skills
- Claims processing
- Data entry
- Document verification
- Customer service
Timeline
Claims Processor
Kimball Midwest
07.2024 - Current
Customer Care Representative
Safelite
01.2022 - 06.2024
Claims Analyst
EPIQ
05.2020 - 11.2021
Customer Service Representative
Morgan Stanley
03.2019 - 03.2020
High School Diploma -
WHITEHALL YEARLING HIGH SCHOOL