Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Timeline

Precious Keel-Burnette

Claims Examiner
New Port Richey,FL

Summary

Dedicated Data Entry Professional & Customer Care Advocate that is highly skilled in office administration, building relationships, maintaining customer satisfaction, data organization, and word processing in a timely matter, contributing to company growth.

Overview

16
16
years of professional experience
3
3
Certification
19
19
years of post-secondary education

Work History

Claims Adjudicator

IBM - State Of NJ
Remote
11.2017 - 04.2022
  • Collaborated with team members and management to meet goals.
  • Determined claim status and negotiated to reach reasonable settlements or denials.
  • Interviewed claimants and witnesses to gather factual information.
  • Assisted applicants with application process for utility assistance
  • Performed Phone Screenings with Applicants over the phone
  • Obtain Administrative credentials in order to fill out application with applicant over the phone
  • Scanned Documents into a secure system
  • Reviewed Applications and made an eligibility judgement call for each applicant
  • Answered Phones 20% of the time and Adjudicated 80% of the time
  • Worked through Excel spreadsheet, Email, and various program apps like Webex, Slack, Nice InContact, and more.

Dispatcher / Claims Examiner

Garda World Cash Logistics
Boca Raton, Florida
05.2013 - 11.2017
  • Dispatched Armored Services and Security Provided
  • ATM/Vault/Safe access information (combinations, codes, etc.) to routes & techs Open and closed service tickets for clients (sometimes up to 100 to 125 tickets a day) Completed Daily
  • Challenge Reports in office & worked from home remotely Trained newbies that started on overnight shift Investigated Claims For All Our USA Branches
  • Escalations/Follow Ups/Collections Documented and communicated between service techs and customer Assisted
  • Banks, Disney World, Restaurants, Convenient Stores, Retail Stores throughout the US, Spirit Committee Leader for Overnight Team
  • Displayed high quality customer service by assisting customers effectively; tactfully handled confrontational or stressful situations with the public
  • Communicated effectively with armored vehicle drivers to coordinate efficient and timely services to our customers and other logistics components.
  • Scanned documentation and entered into the database.
  • Completed and mailed bills, contracts, policies, invoices and checks
  • Verified insurance claims and determined fair amount for settlement.

Team Leader

Convey Health
Sunrise, FL
07.2010 - 05.2013
  • Mentored and guided employees to foster proper completion of assigned duties.
  • Conducted training and mentored team members to promote productivity, accuracy and commitment to friendly service.
  • Built strong relationships with customers through positive attitude and attentive response.
  • Led team of 15-20 members while providing exceptional customer service.
  • Demonstrated knowledge of company mission and goals and mentored employees in reaching objectives aligned with company core values.
  • De-Escalated irate customer service interactions when customers were upset in a call center environment.
  • Worked through 8-10 different desktop windows daily
  • Verified medical insurance and provided the explanation of benefits for Medicare recipients as a relates to HIPAA law.
  • Processed Pre-Authorizations for pharmacy medications

PHARMACEUTICAL LAB WORKER/ASSISTANT

Life Extension Nutrition Center
Fort Lauderdale, FL
12.2006 - 10.2010

• Updated customer orders from start to finish in an accurate and timely manner

• Developed highly empathetic client relationships and earned a reputation for exceeding service standard goals • Prepacked bulk medicines, filled bottles with prescribed medications and affixed correct labels.

• Implemented standard procedures for mixing, packaging and labeling pharmaceuticals to ensure quality, security and proper disposal

• Verified and created claim numbers by communicating with various insurance companies.

• Recognized and reported defective material and equipment to shift supervisor.

• Entered numerical data into databases in a timely and accurate manner.

• Answered questions about medications, their cost and possible side effects.

• Resolved customer complaints by investigating problems, developed solutions, & prepared reports

Education

High School Diploma - Journalism, Print

Boyd H. Anderson High School, Lauderdale Lakes, FL
06.2003

Bachelor of Science - Logistics Management

Florida Atlantic University, Boca Raton, FL
08.2003 - 06.2022

Skills

  • Overseeing Daily Activities
  • Giving Constructive Feedback
  • Analytical Thinking
  • Cash Register Operations
  • Issue Resolution
  • Verbal and Written Communication
  • Coaching and Mentoring
  • Shift Scheduling
  • Staff Training
  • Attention to Detail
  • Teamwork and Collaboration
  • Continuous Professional Improvement
  • Service Level Agreements
  • Work Planning and Prioritization
  • Logistics
  • Excel
  • Typing 55-60 WPM
  • POS Transactions
  • Evaluating Employee Work
  • Leading Team Meetings
  • Team Check-Ins
  • Adobe Photoshop
  • Trucking Dispatching
  • Overtime Management
  • Travel Itineraries
  • Loss Prevention Strategies
  • Call Center Customer Service
  • Facility Improvement
  • Facility Policies and Procedures
  • De-Escalating Conflicts
  • Individual and Group Therapy
  • Monthly Inventory
  • Selling Skills
  • Employee Recognition
  • Team Meeting Facilitation
  • Profit and Loss Accountability
  • Personnel Scheduling
  • Documentation
  • Data Entry
  • Live Chat

Affiliations

Notary Association of America

Certification

Florida Certified Notary Public & Loan Signing Agent

Certified in Digital Journalist

Certified in Quickbooks


Timeline

Claims Adjudicator - IBM - State Of NJ
11.2017 - 04.2022
Dispatcher / Claims Examiner - Garda World Cash Logistics
05.2013 - 11.2017
Team Leader - Convey Health
07.2010 - 05.2013
PHARMACEUTICAL LAB WORKER/ASSISTANT - Life Extension Nutrition Center
12.2006 - 10.2010
Florida Atlantic University - Bachelor of Science, Logistics Management
08.2003 - 06.2022

Florida Certified Notary Public & Loan Signing Agent

Certified in Digital Journalist

Certified in Quickbooks


Boyd H. Anderson High School - High School Diploma, Journalism, Print
Precious Keel-BurnetteClaims Examiner