Summary
Overview
Work History
Education
Skills
Certification
License
Timeline
Generic

SHAKGRANDA TURNER

ARLINGTON

Summary

Dedicated candidate aiming to demonstrate capabilities that align with and enhance business goals and standards

Overview

19
19
years of professional experience
1
1
Certification

Work History

Claims Associate

State Farm Insurance
10.2024 - Current
  • Gather pre-claim handling information
  • Apply knowledge of state and federal laws, statues and insurance regulations through the claim handling process
  • Receive inbound calls as well as make outbound calls policyholders and claimants
  • Complete investigative steps when needed to determine customer needs, next steps and explaining these decisions to the customer

Membership Retention Agent

AAA Texas Headquarters
11.2022 - 10.2024
  • Retain AAA memberships to effective communication.
  • Share product knowledge, service features and benefits.
  • Help increase customer acquisition and retention.
  • Upsell when appropriate; meet daily/weekly sales and objectives.

Emergency Dispatch Operator

SIEMENS
03.2018 - 11.2018
  • Make notification to customers and dispatch emergency personnel as needed
  • Generate statistical or investigative reports for management
  • Conduct scheduled video tours of security cameras
  • Provide outstanding customer service by meeting company quality standards
  • Continuously monitor the alarm signal queue with prioritized response

Collections Agent

BRIDGECREST
08.2015 - 12.2017
  • Collect payments on past due bills
  • Organize list according to severity of delinquency
  • Locate customers using credit bureau information, background checks, loan docs, & etc.
  • Set up payment plans or offered modifications to help bring their accounts to a current status

Customer service representative

BLUE CROSS BLUE SHIELD (Dialog Direct)
05.2011 - 08.2015
  • Clarified EOB details for members and providers, improving comprehension of benefits.
  • Reviewed, corrected, and returned claims for reprocessing.
  • Supported representatives in managing escalated calls while meeting deadlines.
  • Maintained adherence to guidelines, fostering high standards in customer service.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Enhanced financial accuracy with thorough verification of invoices against purchase orders and contracts.

Claims Representative

STATE FARM INSURANCE
03.2006 - 05.2010
  • Reports as well as bill claims to reinsurers
  • Works toward fortitude of claims files
  • Ensures which claims payments have been released in the timely manner

Education

Medical Billing And Coding

Concorde Career Institute
Arlington, TX
11.2023

Medical Technology

Panola College
Carthage, TX
10.2005

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Logansport High School
05.2003

Skills

  • Medical terminology
  • HCPCS coding
  • Insurance verification
  • Data entry
  • Insurance coding (ICD-9 and CPT)
  • Knowledgeable in software
  • Medical billing

Certification

  • Concorde Career Institute in year 2010-obtain certification 2010-09-11.
  • Property and Casualty License

License

Texas All Lines Adjuster License #3255131

Timeline

Claims Associate

State Farm Insurance
10.2024 - Current

Membership Retention Agent

AAA Texas Headquarters
11.2022 - 10.2024

Emergency Dispatch Operator

SIEMENS
03.2018 - 11.2018

Collections Agent

BRIDGECREST
08.2015 - 12.2017

Customer service representative

BLUE CROSS BLUE SHIELD (Dialog Direct)
05.2011 - 08.2015

Claims Representative

STATE FARM INSURANCE
03.2006 - 05.2010

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Logansport High School

Medical Billing And Coding

Concorde Career Institute

Medical Technology

Panola College
SHAKGRANDA TURNER