Myrtia G Jacobs
Jacksonville,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
15
15
years of professional experience
Work History
Claims Adjuster
Assurant
, FL
01.2024 - Current
- Evaluated insurance claims to determine coverage and eligibility.
- Reviewed documentation for accuracy and compliance with company policies.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Maintained accurate documentation of all claim activity within designated system.
- Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
- Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
Intake Service Specialist
Payspan/Zelis
Jacksonville, USA
12.2022 - 09.2024
- Daily incoming inquiries (via fax, email, mail), create specified response letters, respond to emails and submit client requests, while logging inquiries into OnBase and attaching documents accordingly.
- Handle all Medical Record Requests for incomplete inquiries, coordinate with the Provider Services department when providers contact is necessary and send correspondence to providers as needed.
- Facilitated communication between healthcare providers and patients to resolve inquiries.
- Collaborated with cross-functional teams to enhance service delivery and responsiveness.
- Monitored system performance and reported issues to ensure operational efficiency.
Senior Credit & Acct Service Agent (Fraud)
Xfinity by Comcast
Jacksonville, FL
11.2010 - 01.2022
- Determined if new orders were associated with fraudulent activity and identity theft.
- Accurately and confidently handled customers' inquiries while using negotiation skills to collect delinquent balance and retained the customer, while following federal and state guidelines and laws.
- Over the pass 10+ years I'd explored several positions; Tech Support, Sales, Help Desk & WFM
- Resolved billing issues and payment discrepancies for clients promptly.
- Documented customer interactions in compliance with company policies.
- Trained new hires on customer service protocols and systems usage.
- Provided accurate information regarding product specifications and pricing.
- Followed up with customers to ensure satisfaction with services provided.
- Responded to customer complaints in a timely manner.
Education
All Lines Accredited Claims Adjuster -
FSCJ
01.2022
GED -
FSCJ
01.2009
Skills
- Computer proficiency
- Technical aptitude
- CMS
- MS Office Applications
- Adobe Application
- Salesforce
- Lexis Nexis
- EPort
- Task management
- Organizational skills
- Self-motivation
- Teamwork
- Documentation accuracy
- Regulatory compliance
- Claim negotiation
Timeline
Claims Adjuster
Assurant
01.2024 - Current
Intake Service Specialist
Payspan/Zelis
12.2022 - 09.2024
Senior Credit & Acct Service Agent (Fraud)
Xfinity by Comcast
11.2010 - 01.2022
All Lines Accredited Claims Adjuster -
FSCJ
GED -
FSCJ