Randee Stilson
Lincoln Financial Group
Rochester,NH
30
years of professional experience
Dedicated and results-driven claims professional with experience in disability claims administration, medical documentation review, customer service, and office operations. Skilled in claim adjudication, absence management, and healthcare administration. Recognized for strong organizational skills, attention to detail, independent decision-making, and the ability to manage high-volume workloads while providing exceptional customer service.
Experienced with complex claims evaluation and resolution, focusing on accuracy and compliance. Utilizes analytical skills and policy knowledge to enhance claim processing. Track record of effective communication and teamwork in high-pressure situations.
Work History
Sr. Claims Examiner, Integrated Absence Management
5 Years 1 Month- Managed high-volume caseload of Short-Term Disability claims from intake to determination, ensuring timely and accurate assessments.
- Conduct initial and ongoing claimant interviews to gather information and assess eligibility.
- Review medical records, provider statements, and supporting documentation to make timely claim decisions.
- Process approvals, denials, and claim extensions in accordance with company policies and regulatory guidelines.
- Communicate with claimants, healthcare providers, employers, and internal partners regarding claim status and requirements.
- Delivered superior customer service while balancing productivity, quality, and compliance standards, enhancing claimant satisfaction.
- Made routine claim determinations and facilitated clinical reviews independently.
Patient Service Representative
8 Months- Checked in patients, verifying insurance coverage to ensure accuracy of billing processes.
- Collected copayments and managed patient documentation.
- Collected copayments while managing patient documentation, facilitating seamless patient transactions.
- Answered multi-line phone systems and addressed patient inquiries.
- Answered multi-line phone systems, addressing patient inquiries to enhance overall patient experience.
- Performed administrative duties in a fast-paced healthcare environment.
Assistant Customer Service Manager
8 Years 3 Months- Supervised front-end operations, customer service desk, and cash office activities.
- Coordinated employee scheduling, training, and performance management to enhance team effectiveness.
- Assisted with employee scheduling, training, and performance management.
- Resolved customer concerns and issues, ensuring high satisfaction levels and positive experiences.
- Achieved Employee of the Month recognition within first three months of employment for outstanding service.
School / Special Education Secretary
6 Years 11 Months- Managed student attendance records and generated reports to support accurate tracking of student participation.
- Managed student attendance records and reporting.
- Coordinated special education meetings and scheduling for case managers, ensuring effective communication and collaboration among stakeholders.
- Provided comprehensive administrative support to school leadership.
- Processed purchase orders and maintained financial records.
- Provided administrative support to school leadership, facilitating smooth operations and enhancing organizational effectiveness.
Bookkeeper
3 Years 11 Months- Managed store cash office operations and performed daily reconciliations to ensure accurate financial tracking.
- Oversaw deposits and maintained safe balance and cash controls to safeguard company assets.
- Managed store cash office operations and daily reconciliations.
- Assisted customers while ensuring compliance with company procedures to enhance service quality.
Teller / Receptionist
2 Years 11 Months- Processed deposits, withdrawals, and member transactions to ensure accurate account management.
- Managed branch cash operations and balancing procedures to maintain financial integrity.
- Answered multi-line phone systems and assisted members with account inquiries, resolving issues efficiently.
- Managed branch cash operations and balancing procedures.
Shift Supervisor
1 Year 11 Months- Oversaw front-end staff and daily operational activities.
- Monitored cash handling procedures and ensured accurate till balances.
- Ensured timely task completion while upholding customer service excellence.
- Coached employees and provided operational support to enhance team effectiveness.
Loan Processor / Card Coordinator
3 Years 11 Months- Processed personal, automobile, RV, and line-of-credit loans, ensuring compliance with regulatory standards.
- Coordinated loan documentation and disbursement activities, facilitating seamless funding for clients.
- Processed personal, automobile, RV, and line-of-credit loans.
- Collaborated with loan officers to ensure timely and accurate loan processing, enhancing customer satisfaction.
- Managed ATM operations and card services.
Education
Associate degree - Paralegal Studies
Skills
Disability Claims Management
Claims Processing
Claim adjudication
Insurance Verification
Documentation Review
Medical Terminology
Healthcare Scheduling
Record management
Customer service
Team Collaboration
Conflict Resolution
Claims analysis
Coverage evaluation
Policy interpretation
Timeline
Sr. Claims Examiner, Integrated Absence Management
Lincoln Financial Group
10.2021 - CurrentRead More
Patient Service Representative
Frisbie Memorial Hospital
02.2021 - 10.2021Read More
Assistant Customer Service Manager
Hannaford
07.2013 - 10.2021Read More
School / Special Education Secretary
Nute High School & Library
01.2007 - 12.2013Read More
Bookkeeper
Hannaford
01.2004 - 12.2007Read More
Teller / Receptionist
Holy Rosary Credit Union
01.2002 - 12.2004Read More
Shift Supervisor
Hannaford
01.2000 - 12.2001Read More
Loan Processor / Card Coordinator
Holy Rosary Credit Union
01.1997 - 12.2000Read More
McIntosh College
Associate degree from Paralegal Studies
Read More