Shaderia Fisher
Spring,TX
Summary
Highly organized and motivated employee with a strong desire to apply excellent time management and organizational skills in diverse work environments. Committed to continuously developing these skills while making valuable contributions to company growth and success. Seeking opportunities to leverage abilities and drive for achieving optimal results.
Overview
3
3
years of professional experience
Work History
Health claims adjudicator
Sutherland Global
01.2024 - 12.2024
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Determined claim status and negotiated to reach reasonable settlements or denials.
- Consistently met or exceeded performance targets for claims processing and adjudication, contributing to overall departmental success.
- Collaborated with team members and management to meet goals.
- Prepared and presented claims to other insurance companies and collaborated to gain necessary information to resolve claims.
- Managed a caseload of complex claims, ensuring proper handling and timely resolution for optimal outcomes.
- Completed approximately 50-70 medical claims per work shift.
Pre-Enrollment Specialist
Willis Towers Watson
05.2022 - 01.2024
- Directed participants on site navigation, improving overall engagement.
- Address inquiries about coverage options to support informed decision-making.
- Assess client needs to ensure proper and effective insurance coverage.
- Conducted in-depth analysis of client needs, tailoring insurance recommendations to align with individual requirements and risk profiles
- Managed approximately 30 incoming calls, emails, and faxes per day from customers.
- Streamlined operations and prioritized tasks, allowing senior staff to increase revenue by 25%
Education
Associate In Electronics Engineering Technology - Computer Engineering
Prairie View A&M University
Prairie View, TX05.2021
Skills
- Data Entry
- HIPAA Compliance
- Multi-Task Management
- Government policy regulations
- Claims processing
- Microsoft Office Suite
- Coding systems
- Healthcare procedures
- Teamwork and collaboration
- Problem-solving
- Time management
- Multitasking Abilities
- Reliability
- Excellent communication
- Critical thinking
- Computer skills
- Customer service and support
- Team leadership
- Decision-making skills
- Active listening
- Adaptability and flexibility
- Workload prioritization
- Self motivation
- Professionalism
- MS office
- Payment processing
Personal Information
Date of Birth: 05/05/99
Timeline
Health claims adjudicator
Sutherland Global
01.2024 - 12.2024
Pre-Enrollment Specialist
Willis Towers Watson
05.2022 - 01.2024
Associate In Electronics Engineering Technology - Computer Engineering
Prairie View A&M University
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