Nicole Bush
Las Vegas,NV
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
14
14
years of professional experience
Work History
Senior Claims Specialist
CNS Cares
10.2022 - Current
- Assisted former energy worker process and file claims with the Department of Labor to obtain benefits such as medical and financial compensation.
- Requested and reviewed medical records to write medical letters of causation from said medical providers.
- Reviewed and responded to all Department of Labor correspondence on claimants behalf to ensure claim processed successfully to gain approvals. Approval rating 75%.
- Contributed to company growth by assisting in the development of new products and services based on market trends analysis.
- Maintained up-to-date knowledge of industry regulations, legal developments, and emerging risks to ensure company readiness for any challenges that may arise.
- Developed strong relationships with external partners such as healthcare providers, attorneys, and law enforcement agencies to facilitate effective claim handling processes.
- Provide assistance and training to new claim specialists as needed.
Call Center Supervisor
American Dental Affiliates
08.2021 - 08.2022
- Monitored call quality for call center reps and provided individual constructive feedback to enhance performance and address areas in need of improvement.
- Increased efficiency and productivity through effective staff training regarding customer service protocols and call resolution techniques.
- Understood dental terminology and insurance breakdowns to communicate while scheduling appointments and prepared insurance claim forms to explain benefits and pricing for procedures.
Claims Specialist
Conduent
02.2019 - 06.2021
- Examined and submitted claims, records and procedures to grant approval for coverage.
- Managed large volume of medical claims on daily basis.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Safety Manager/Claims Specialist
ATI Trucking Inc
01.2015 - 08.2019
- Trained employees in most current DOT regulations and practices in effort to prevent mishaps and developed and implemented safety programs decreasing safety issues by 57%.
- Inspected trucks and maintenance to detect potential safety hazards and put corrective measures immediately into effect.
- Open, filed and documented all investigation activity and presented reports on all insurance claims to management.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims and conducted interviews of witnesses and claimants to gather info and facts.
Executive Assistant to the Chief Executive Officer
L.A. Sentinel Newspaper / Mothers In Action
04.2010 - 12.2014
- Managed complex calendar scheduling with focus on proper allocation of executive availability.
- Contributed to smooth business operations by planning and organizing meetings and conferences.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Produced accurate office files, updated spreadsheets and crafted presentations to support executives and boost team productivity.
- Worked with CEO, City of Los Angeles and Mothers In Action to coordinate and complete special projects for children and community of Los Angeles, CA.
Education
Associate of Arts - Childhood Development
El Camino College
Torrance, CASkills
- Information Tracking
- Claims Management Expertise
- Staff Training
- Managing Operations and Efficiency
- Accident Investigations
- Documentation Review
- Government Regulations (DOL, NIOSH, HIPAA, OSHA, DOT)
- Data Entry and Maintenance
- Administration and Reporting
- Investigative abilities
- Claims Processing
- Legal Compliance
Timeline
Senior Claims Specialist
CNS Cares
10.2022 - Current
Call Center Supervisor
American Dental Affiliates
08.2021 - 08.2022
Claims Specialist
Conduent
02.2019 - 06.2021
Safety Manager/Claims Specialist
ATI Trucking Inc
01.2015 - 08.2019
Executive Assistant to the Chief Executive Officer
L.A. Sentinel Newspaper / Mothers In Action
04.2010 - 12.2014
Associate of Arts - Childhood Development
El Camino College
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