Nathan Edwards
Shelbyville,KY
Summary
Extensive knowledge of Microsoft Office products including, but not limited to Word, Excel, PowerPoint SQL and Outlook. Experience in legal collections, payments, garnishments and proceedings. Ability to work independently with minimal guidance. Experience in customer service roles Kentucky Independent Life and Health Insurance License Insurance knowledge and background in Medicare/Medicaid regulations
Overview
16
16
years of professional experience
Work History
Claims Adjuster 1
Kentucky Farm Bureau Louisville
02.2022 - Current
- Providing caring and professional customer service by investigating both auto and property claims, applying policy coverage and resolving issues in a timely manner
- Proficient in Xactimate, Mitchell, and ARMS
Claims Representative
CAS Transplant, Humana, Inc
03.2020 - 02.2022
- Provided professional support to members by applying contracted coverage rates to payments to providers and reimbursement to members.
Health Information Management Coordinator
Humana Inc
06.2015 - 03.2020
- Researching, and correcting medical encounters using CAS, Associate Remittance
- Mentor, MTV, EHub
- Submitting data to State and Federal agencies for reimbursement
Customer Service Rep/ Dispatcher
Recover Care
07.2014 - 06.2015
- Call center
- Placing orders for medical equipment for Hospitals
- Dispatching Technicians to Hospitals
- Analyzing statistics to improve team performance
Legal Collector/Paralegal
Greene & Cooper LLC
01.2014 - 05.2014
- Managed a portfolio of judgment files
- Calling consumers both manually and computer generated on judgments
- Calling potential employers and setting up garnishments
- Negotiating and accepting payments and settlements on past judgments
- Filing documents with courts in Kentucky, Indiana and Ohio
Home Health Caregiver/Aide
Life LLC
09.2013 - 07.2016
- Provide care and medication for two gentleman with intellectual deficiencies
- Assist in home care of gentleman to see that needs are met
- Following of Medicare and Medicaid guidelines for care
Independent
Insurance
03.2013 - Current
Bankruptcy Clerk
Aflac
03.2010 - 04.2012
- Independent sales of supplemental insurance
- Identified prospective customers through cold calls and local clientele
- Knowledge of Medicare and Medicaid guidelines
Judgment Entry Clerk
Lloyd and McDaniel LLC
04.2012 - 10.2012
- Maintain an extensive inventory of Commercial Collection and Bankruptcy claims
- Properly merge and edit legal documents
- Notify courts and places of employment of filing
- Maintaining collections claims
- Garnishment work and filings
- Grievance and appeals
Assistant Area Manager
08.2007 - 12.2011
Elder
Beerman
- While working as the Assistant Area Manager in the Men’s Department, my main focus is managing and overseeing a staff of 10+
- This involves: training, assigning workloads, maintaining a sales floor
- Operating a POS cash register system
- Increasing add on sales
- Customer Service, grievance reconciliation
- Professional
- Development &
- Education
- Kentucky Department of Insurance Life and Health Insurance license
- Proficient in all Microsoft Office programs.
Education
Political Science
University of Kentucky
Lexington, KyAtherton High School
Louisville, KySkills
- Health Information
- Client Needs Assessment
- Client Requirements
- Claims
Timeline
Claims Adjuster 1
Kentucky Farm Bureau Louisville
02.2022 - Current
Claims Representative
CAS Transplant, Humana, Inc
03.2020 - 02.2022
Health Information Management Coordinator
Humana Inc
06.2015 - 03.2020
Customer Service Rep/ Dispatcher
Recover Care
07.2014 - 06.2015
Legal Collector/Paralegal
Greene & Cooper LLC
01.2014 - 05.2014
Home Health Caregiver/Aide
Life LLC
09.2013 - 07.2016
Independent
Insurance
03.2013 - Current
Judgment Entry Clerk
Lloyd and McDaniel LLC
04.2012 - 10.2012
Bankruptcy Clerk
Aflac
03.2010 - 04.2012
Assistant Area Manager
08.2007 - 12.2011
Elder
Beerman
Political Science
University of Kentucky
Atherton High School
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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