Sandra Criscione
Wantagh
Summary
Hardworking job seeker with strong organizational skills looking to secure a part time or full time position. Bringing a positive attitude and a commitment to continuous learning and growth. Ready to tackle new challenges with dedication and enthusiasm.
Overview
25
25
years of professional experience
Work History
Debt Recovery Specialist
Emblem Health Insurance
01.2015 - 12.2017
- Researched, identified and contacted customers with overdue accounts to discuss their account information, discrepancies and payment options.
- Maintained accurate records of all collections efforts, providing transparency and aiding in informed decision-making processes.
- Collected on delinquent accounts to reduce overdue balances with large hospital/provider accounts.
Customer Service/Claims Team Leader
EmblemHealth
04.2013 - 01.2015
- Supervised claims processing team of 20+ employees, ensuring adherence to procedures and guidelines.
- Ensured accurate documentation of all claim-related activities for compliance purposes.
- Managed high volume of claims while maintaining strict adherence to company policies and industry regulations.
- Handled complex high dollar claims.
Customer Service/Claims Analyst
EmblemHealth
04.1993 - 04.2013
- Analyzed and processed medical claims, ensuring accuracy and adherence to policy guidelines. Collaborated with healthcare providers to gather necessary documentation when needed.
- Managed high-volume caseloads and complex medical claims, prioritizing tasks to ensure timely completion of all claims.
- Provided customer service by promptly addressing inquiries from policyholders and/or providers of service regarding the status of their claims.
- Conducted audits of processed claims, ensuring adherence to company policies and minimizing errors.
Education
High School Diploma -
General Douglas MacArthur HS
Levittown, NYSkills
- Call center background
- Organization and Multitasking skills
- Customer service background
- Medical Claims background
Timeline
Debt Recovery Specialist
Emblem Health Insurance
01.2015 - 12.2017
Customer Service/Claims Team Leader
EmblemHealth
04.2013 - 01.2015
Customer Service/Claims Analyst
EmblemHealth
04.1993 - 04.2013
High School Diploma -
General Douglas MacArthur HS
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