Quintella McDaniel

• Worked productively in fast-moving work environment to process large volumes of claims.
• Followed up with customers on unresolved issues.
• Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
• Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
• Extensive work experience within own function
• Works Independently
• Work is frequently completed without established procedures
• May act as a resource for others
• May coordinate others activities
• Applies knowledge/skills to a range of moderately complex activities
• Demonstrates great depth of knowledge/skills in own function
• Sometimes acts as a technical resource to others in own function
• Sometimes acts as a technical resource to others in own function
• Proactively identifies solutions to non-standard requests
• Solves moderately complex problems on own and with team when needed
• Proactively identifies solutions to non-standard requests
• Plans, prioritizes, organizes and completes work to meet established objectives
• May coordinate work of other team members

• Participated in staff training sessions to continually improve knowledge of industry best practices and company-specific processes.
• Maintained organized claim files, ensuring easy access to information for future reference or audits.
• Prevented financial losses by identifying potential fraudulent activities through meticulous analysis of claim patterns and behaviors.
• Reduced claim errors by carefully reviewing documentation and verifying information before submission.

Accurate and timely completion of 6 reports and other miscellaneous assignments

Handles 10+ department faxes, mail, copying and other clerical functions

Monitors 12 department files and over 50 supplies items

Assisted in at least 5 special projects and gives general clerical assistance to other departments

Other duties as assigned (working post day adjustments doing 200/day)

Date stamp claims on a perforator (750/hr)

Prepare medical records for activation (50/hr)

Other job duties as assigned within the department or other areas

Prepare medical records for filing (25/hr)

Retrieval medical records for requestors (20/hr)

Organize delivery and pick up of warehouse files (50/hr)

Purge medical claims and records for storage (30/hr)