Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 10 years of Health experience.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Agent
VDart
01.2021 - Current
Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Reduced claims processing time by implementing efficient workflow strategies and prioritizing tasks.
Streamlined daily operations, ensuring accurate transaction processing and efficient customer service delivery.
Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
Collaborated with cross-functional teams to expedite complex claims investigations and resolutions
Medical Assistant Extern
Dr William Sergeant
09.2019 - 12.2021
Addressed patient inquiries promptly, providing clear explanations about treatment plans, insurance coverage, billing processes, or other concerns as needed.
Reduced errors in billing and insurance claims processing by maintaining accurate patient records and staying updated on industry regulations.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Handled customer inquiries and suggestions courteously and professionally.
Inbound Call Center Representative
UPS
11.2017 - 11.2019
Managed high call volume with exceptional professionalism and efficiency.
Answered phone with friendly greeting to create positive inbound calling experience for customers.
Generated additional sales opportunities with upselling and cross-selling techniques.
Emphasized product specifications to meet customer needs.
Built strong relationships with clients through attentive service, leading to repeat business and referrals.
Healthcare Customer Service Representative
Cordant Health Solutions
08.2018 - 09.2019
Managed approximately a high volume of 200 calls daily, maintaining composure under pressure while providing exceptional service.
Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries.
Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
Education
Golden Health Services
G.W Carver
05.2007
Skills
Customer Service Inbound and Outbound Calling Microsoft Office Suite Data Entry and Analysis Claims Processing Verbal and Written Communication