Shakinah Shadeed
Hampton,US
Summary
Knowledgeable with a robust background in non-destructive testing and inspection. Demonstrated expertise in identifying and resolving material flaws to ensure safety and compliance. Proven ability to use ultrasonic, radiographic, and magnetic particle testing techniques effectively and efficiently.
Overview
12
12
years of professional experience
Work History
Level 2 NDT Inpector
Howmet Aerospace
11.2024 - Current
- Supported quality assurance initiatives by providing detailed reports on findings from NDT inspections.
- Increased efficiency in inspection processes through the utilization of advanced NDT methods such as ultrasonic, magnetic particle, and radiographic testing.
- Evaluated the effectiveness of NDT methods and equipment to recommend upgrades or improvements as needed for optimal performance.
- Improved safety standards by identifying and reporting defects in metals, composites, and other industrial products.
- Read and follow printed and computer-based work
- Inspect patterns or metal castings for dimensional conformance to specifications which may require the use of Coordinate Measuring Machines (CMM), Ultrasonic gauges (UT), 3D inspection using white or blue light scanning technology, and hand-held measuring devices to include feeler gauges or pincher gauges in accordance with blueprint specifications.instructions.
Medicare Representative
Blue Cross Blue Shield of Rhode Island
10.2023 - Current
- Developed strong relationships with internal departments such as Claims, Sales, Enrollment and Billing to ensure efficient resolution of customer inquiries
- Conducted detailed research on various topics related to Medicare plans and benefits, utilizing both online and offline resources
- Successfully communicated product information, pricing details, eligibility requirements, and other relevant information regarding Medicare products to customers
- Reconciled payments received against expected reimbursements from payers
- Utilized various software applications to review, analyze, adjust, and process Medicare Part A, B, C, D claims
- Processed Medicare claims in an accurate and timely manner, utilizing knowledge of insurance guidelines and regulations
- Communicated effectively with management regarding any changes or updates made within the Medicare system
- Provided exceptional customer service while responding to inquiries from providers related to claim status or processing issues
- Identify cross-sell opportunities for ancillary products such as dental insurance
- Ensure compliance in all aspects of activities with internal policies as well as all regulatory agencies
Precertification Specialist
Aetna/CVS Health
03.2023 - 10.2023
- Performs intake of calls from members or providers regarding services via telephone, fax, EDI
- Screens requests for appropriate referral to medical services staff
- Approve services that do not require medical review in accordance with benefit plan
- Performs non-medical research including eligibility verification, COB, and benefits verification
- Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements
- Protects confidentiality of member information and adheres to company policies regarding confidentiality
- Communicate with Aetna Case Managers, when processing transactions for members active in this program
- Modified and processed existing policies and claims to reflect change in beneficiary, amount of coverage, or type of insurance
- Requested information from internal or external sources to complete and validate claims
Risk Coordinator
Capital One
12.2021 - 10.2022
- Devised new systems and specific processes to handle ongoing monitoring needs for potential risks
- Implemented financial risk management policies, limits and strategies that complied with standards and strategic imperatives of organization
- Looked at current and new merchants and individual sales to evaluate fraud, chargeback and compliance risks
- Performed in-depth research and investigations and recommended strategies to resolve problems and prevent further concerns
Sheet Metal Mechanic
Huntington Ingalls Industries
12.2019 - 12.2021
- Read blueprints and schematics correctly to complete jobs accurately and prevent rework
- Measured installation locations with care to cut materials accurately and minimize waste
- Helped team operate efficiently by keeping supplies, tools and equipment organized
- Finished and sealed ductwork to achieve ideal look and performance levels
- Completed same high level of work in hot, cold and inclement weather environments
- Met strict quality standards by inspecting and correcting work of less experienced team members
- Preassembled components of commercial ductwork to increase job site efficiency
- Used rulers, squares and scribes to measure and mark dimensions and reference lines on materials
- Fastened joints and seams together to assemble components into sheet metal products
- Used basic carpentry knowledge to minimize cuts in existing building structures and leave customers with professional final appearance
- Assisted with successful, time-sensitive renovations of various structures
Medical Claims Processor
WPS Health Solutions
08.2018 - 12.2019
- Evaluated accuracy and quality of data entered into agency management system
- Followed up with customers on unresolved issues
- Collaborated with claims department and industry anti-fraud organizations to resolve claims
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly
- Reported policy changes and company conditions affecting customer satisfaction
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims
- Checked documentation for accuracy and validity on updated systems
- Verified client information by analyzing existing evidence on file
- Generated, posted and attached information to claim files
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Worked closely with the claims team to prioritize and manage workload, meeting established service level agreements and deadlines
- Collected initial premiums and issue receipts
- Researched and resolved discrepancies between the insurer's system and customer records
- Maintained confidentiality and handled sensitive information in accordance with company policies and legal requirements
Customer Service Representative
Alorica
10.2012 - 07.2018
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Answered customer telephone calls promptly to avoid on-hold wait times
- Answered constant flow of customer calls with minimal wait times
- Offered advice and assistance to customers, paying attention to special needs or wants
- Provided primary customer support to internal and external customers
- Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up
- Remedied issues quickly and within parameters of company-mandated policies and procedures
- Assisted department with email-based and phone support when call center was busy or short-staffed
- Kept informed of activities or changes that could affect likelihood of emergencies, factors that could affect response efforts and details of plan implementation
- Built and strengthened relationships with area governments, departments and agencies to manage effective planning and implementation of emergency response strategies
- Applied various teaching aids to minimize learning gaps and instruct and motivate students
- Evaluated and revised lesson plans and course content to achieve student-centered learning
- Tested students on materials presented in workshops and classes to assess grasp of material
- Increased student participation by facilitating interesting and relevant events
- Mentored new hires, resulting in stronger staff development and increased productivity
- Monitored participant workflow and behaviors throughout training process
- Performed continuous evaluations of content and plans in order to enhance delivery and improve effectiveness
Education
High School Diploma -
Phoebus High School
01.2006
Skills
- Standard Operating Procedure
- Problem Investigations
- Strong Interpersonal Communication
- Support Networks
- Risk Identification
- Microsoft Office
- Documentation Review
- Compliance Management
- Deadline Management
- Safety Protocols Adherence
- Quality control measures
- Time management mastery
Timeline
Level 2 NDT Inpector
Howmet Aerospace
11.2024 - Current
Medicare Representative
Blue Cross Blue Shield of Rhode Island
10.2023 - Current
Precertification Specialist
Aetna/CVS Health
03.2023 - 10.2023
Risk Coordinator
Capital One
12.2021 - 10.2022
Sheet Metal Mechanic
Huntington Ingalls Industries
12.2019 - 12.2021
Medical Claims Processor
WPS Health Solutions
08.2018 - 12.2019
Customer Service Representative
Alorica
10.2012 - 07.2018
High School Diploma -
Phoebus High School
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