Samantha Clardy
Valparaiso,IN
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure Managed Care Coordinator position. Ready to help team achieve company goals.
Proven track record in enhancing customer satisfaction and streamlining operations. Expert in claims processing and policy analysis with a knack for meticulous attention to detail and fostering teamwork. Achieved significant improvements in workflow efficiency and client communication, leveraging skills in file organization and multi-line phone operation.
Overview
24
24
years of professional experience
Work History
Receptionist Administrator
Realty Executives Premier
08.2020 - Current
- Answered incoming calls, directing clients to individuals addressing specific needs.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Expedited daily office tasks such as mail distribution, document scanning, photocopying, and data entry to ensure smooth workflow.
- Streamlined office operations for increased productivity by organizing and maintaining physical and digital filing systems.
- Organized and maintained transaction files in compliance with company policies and industry regulations, ensuring easy access to all relevant documents.
- Collaborated with escrow officers, title companies, inspectors, appraisers, attorneys, and other professionals to address any issues or discrepancies that arose during transactions.
- Reduced errors in contract preparation with meticulous attention to detail and thorough understanding of legal requirements.
- Streamlined real estate transactions by efficiently managing documentation and communication between all parties involved.
- Managed multiple concurrent transactions with exceptional organization skills, ensuring deadlines were met and clients were updated regularly.
Insurance Claims Specialist
Custom Data Services, Inc.
02.2015 - 06.2019
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Evaluated and settled complex insurance claims in strict timeframes.
- Boosted company reputation by delivering exceptional customer service during claim investigations and settlements.
- Facilitated smooth transitions between departments during claim handoff processes to ensure seamless coordination among internal teams for prompt resolution times.
- Developed a strong knowledge of various insurance products to provide comprehensive guidance during the claims process for diverse clientele.
- Demonstrated proficient knowledge of various insurance types, highlighting the distinction between HMO and PPO
- Familiarity with a wide range of Medicare plan options including parts A, B, and C
- Successfully applied knowledge of multiple Medicaid plans, including HIP, HHW, and HCC.
- Proficient in utilizing EHR platforms such as Availity Essential, RealMed, WPS, Indiana Medicaid, etc.
- Adept at understanding the variances between IN and Out of Network
Switchboard Operator
USAF
11.2000 - 04.2003
- Connected callers with appropriate professional, department, or business.
- Streamlined administrative tasks such as message-taking and appointment scheduling for increased productivity across multiple departments.
- Managed high volume of calls during peak hours, maintaining composure under pressure while efficiently handling each caller''s needs.
- Delivered excellent customer service through active listening skills and empathetic problem-solving approaches with callers'' concerns or complaints.
- Enhanced customer satisfaction by promptly addressing inquiries and directing them to the appropriate department.
- Directed incoming calls to internal personnel and departments, routing to best-qualified department.
- Trained and mentored new PBX operations employees.
Education
No Degree - Social Work
Ball State University
Muncie, INHigh School Diploma -
William A. Wirt High School
Gary, INSkills
- File Organization
- Multi-line phone operation
- Document scanning and digitization
- Client Communication
- Deadline Management
- Claims analysis
- Claims Investigation
- Policy Interpretation
- Teamwork and Collaboration
- Attention to Detail
- Customer Service
- Claims Processing
- Data Entry
- Organizing and Prioritizing Work
- Insurance Coverage Verification
- Policy analysis
- Coverage Determination
- Eligibility Determination
- Denied claims identification
Timeline
Receptionist Administrator
Realty Executives Premier
08.2020 - Current
Insurance Claims Specialist
Custom Data Services, Inc.
02.2015 - 06.2019
Switchboard Operator
USAF
11.2000 - 04.2003
No Degree - Social Work
Ball State University
High School Diploma -
William A. Wirt High School
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