Samantha Gattis
Chattanooga,TN
Summary
Claims-focused customer service professional experienced in claim investigation, adjustments, and overpayment review within Facets and Workday. Detail-oriented with strong documentation and communication skills.
Overview
9
9
years of professional experience
Work History
Customer Service Representative
BlueCross BlueShield of Tennessee Inc.
Chattanooga, TN
09.2024 - Current
- Assisted customers with inquiries regarding health insurance plans and benefits.
- Resolved customer issues through effective communication and problem-solving techniques.
- Educated members on policy details and claims processes for better understanding.
- Managed high-volume calls while maintaining professionalism and empathy.
- Collaborated with internal teams to gather necessary information for claims resolution.
- Managed escalated claims issues, providing solutions to complex customer concerns.
Landscaper
Appalachian Land Design
Ooltewah, TN
08.2022 - 06.2024
- Implemented and maintained custom landscaping plans for residential and commercial properties, including Silicon Ranch Solar Company, throughout the Southeast region.
- Collaborated with landscape designers and clients to ensure project goals were met and exceeded through effective communication and teamwork.
- Operated and maintained various landscaping equipment and machinery to efficiently complete projects on time and within budget.
- Maintained weekly feeding and care routines for a flock of 50+ sheep at a local solar farm, ensuring their health and well-being.
- Implemented pasture rotation schedule to optimize grazing and maintain high-quality forage for the sheep.
- Conducted regular health checks and administered vaccinations as needed, resulting in minimal instances of illness within the flock.
Practice Manager/Insurance Coordinator
Riverbend Oral Surgery
Chattanooga, TN
12.2019 - 08.2022
- Managed daily operations of a busy medical practice, including scheduling appointments, overseeing billing and collections, and ensuring compliance with insurance regulations.
- Recruited, trained, and supervised a team of 4 dental assistants and 3 front office staff, fostering a positive work environment and promoting professional growth.
- Administered insurance claims processes from start to finish, including reviewing policies, gathering necessary documentation, and submitting claims to insurance carriers.
- Conducted insurance verifications and obtained pre-authorizations for medical procedures, ensuring timely and accurate processing of claims.
- Collaborated with healthcare providers and patients to resolve insurance-related issues and provide guidance on coverage and benefits.
- Managed patient inquiries and concerns with empathy and professionalism, resulting in increased patient satisfaction ratings.
Spa Manager
Skin And Brow Room
Chattanooga, TN
07.2018 - 12.2019
- Developed and implemented new spa service offerings, resulting in a 20% increase in revenue within the first year.
- Managed a team of 15 staff members and modeled in providing exceptional customer service and maintaining a clean and organized spa environment.
- Oversaw inventory management, ordering supplies and products as needed to maintain optimal stock levels and minimize waste.
- Managed social media accounts to create promotional campaigns and events, driving customer engagement and increasing spa memberships by 30%.
Administrative Assistant
Town Of Kenneth City
Kenneth City, FL
11.2016 - 04.2018
- Provided exceptional customer service by promptly responding to inquiries and handling requests from clients and vendors.
- Managed executive calendars, scheduled meetings, and coordinated travel arrangements for a team of 10 senior leaders, ensuring efficient communication and organization.
- Prepared and proofread correspondences, reports, and presentations with a high level of accuracy and attention to detail.
- Leveraged a typing speed of 60 WPM to efficiently document meeting minutes, resulting in a 40% reduction in post-meeting administrative time.
- Facilitated communication between departments by relaying messages, responding to inquiries, and coordinating interdepartmental meetings.
Education
Bachelor of Science - Psychology
The University of Tennessee Chattanooga
Chattanooga, TNSkills
Systems & Tools
- Facets
- Agent Workspace (AW)
- Workday
- Microsoft Office (Excel, Word, Outlook)
Claims & Research
- Claim investigation and analysis
- Claim adjustments
- Overpayment review / Enterprise Claims Recovery support
- Coordination of Benefits (COB) knowledge
- Documentation and case summarization
Professional
- Attention to detail
- Time management
- Independent decision-making
- Written and verbal communication
Timeline
Customer Service Representative
BlueCross BlueShield of Tennessee Inc.
09.2024 - Current
Landscaper
Appalachian Land Design
08.2022 - 06.2024
Practice Manager/Insurance Coordinator
Riverbend Oral Surgery
12.2019 - 08.2022
Spa Manager
Skin And Brow Room
07.2018 - 12.2019
Administrative Assistant
Town Of Kenneth City
11.2016 - 04.2018
Bachelor of Science - Psychology
The University of Tennessee Chattanooga