Adept at critical thinking and fostering team collaboration, I excelled at Government Employees Health Association Inc., where I streamlined claims processing and enhanced data accuracy. Recognized for exceptional customer service, my skills in decision-making and attention to detail led to a significant improvement in operational efficiency.
Overview
24
24
years of professional experience
Work History
Senior Dental Claims Adjuster
Government Employees Health Association Inc.
Independence , MO
11.2017 - 12.2025
Input claim information and payments into company database.
Investigated questionable claims to determine payment authorization.
Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Maintained accurate documentation of all claim activity within designated system.
Calculated and authorized payment of claims within designated authority level.
Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
Communicated effectively with policyholders, providing updates and explaining claim processes.
Discussed current cases and issues in claim committee meetings.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Negotiated and settled claims according to information presented through reports, research, and data verification.
Data Entry Technician
Government Employees Health Association Inc.
Independence, MO
11.2014 - 11.2017
Ensured all entered data was accurate, complete and up-to-date before submission.
Performed data entry activities including entering, updating, researching and verifying information.
Identified data entry errors and corrected mistakes to achieve near-perfect accuracy in data sets.
Transferred written information into databases to maintain consistent, accurate client records and project details.
Kept detailed notes during meetings and relayed information to co-workers through email.
Translated written documentation and notes into emails and other types of correspondence.
Reviewed data for deficiencies or errors, corrected any incompatibilities and checked output.
Updated existing databases with newly acquired information on a regular basis.
Emailed completed documents to supervisors and co-workers to confirm accuracy.
Stored completed documents in designated locations according to established guidelines.
Worked effectively in team environments to make the workplace more productive.
Collaborated closely with team members to achieve project objectives and meet deadlines.
Correspondence Clerk
Department of Immigration
Lee's Summit, MO
11.2012 - 11.2014
Maintained detailed records of correspondence activities.
Filed correspondence and documents with speed and accuracy to maintain official records.
Organized interoffice mailings including sorting envelopes according to priority levels.
Reviewed written correspondence, correcting grammatical and spelling errors.
Compiled data from customer records for inclusion in letters, reports, and other documents.
Proofread all outgoing correspondence before finalizing for distribution.
Read user manuals and administrative materials to determine necessary actions for issues.
Reviewed incoming and outgoing correspondence to ensure accuracy of content, format, and grammar.
Logged incoming mail into database system for tracking purposes.
Sorted incoming mail according to established guidelines for further processing.
Maintained filing systems to store correspondence materials according to established procedures.
Military Pay Technician
Department of Defense
Kansas City, MO
02.2002 - 02.2008
Evaluated existing policies and procedures related to military pay administration and recommended changes where appropriate.
Managed payroll and time and attendance systems.
Verified that all entries are accurate before submitting them to higher authority for approval.
Ensured compliance with applicable regulations concerning the processing of military pay entitlements.
Identified discrepancies in records and initiated corrective action as necessary.
Responded to employee inquiries regarding payroll and timekeeping.
Prepared, reviewed and processed military pay entitlements for Active Duty and Reserve personnel.
Utilized various software and tools to streamline processes and optimize performance.
Prioritized and organized tasks to efficiently accomplish service goals.
Recognized by management for providing exceptional customer service.
Education
High School Diploma -
WillIam Chrisman High School
Independence, OR
05-1976
Skills
Critical thinking
Decision-making
Data entry
Time management
Customer service
Team collaboration
Claims processing
Quality control
Problem-solving
Allocating claims
Verbal and written communication
Attention to detail
Multitasking and organization
Accomplishments
Multiple peer recognitions
Leadership acknowledgement recognizing dedication and hard work