Shanice Singleton
Jackson,United States
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
Work History
Fraud Specialist
US Bank National Association
12.2021 - Current
- Improved customer trust by promptly addressing and resolving reported instances of fraud.
- Conducted thorough investigations into suspected fraudulent activities, resulting in timely resolution of cases.
- Reduced instances of fraud by implementing comprehensive detection and prevention strategies.
- Maintained detailed records of all detected fraud incidents for future reference and analysis.
- Identified trends in fraudulent activities through data analysis, which informed updates to anti-fraud strategies.
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
Medical Records Specialist
Merit Health Central Hospital
06.2018 - 12.2021
- Reviewed open and closed records to comply with medical record documentation policies and reported findings to nursing services director.
- Oversaw the processing of subpoenas and requests for release of information while maintaining patient privacy rights.
- Led process improvement initiatives, identifying areas in need of optimization and implementing changes to enhance departmental efficiency.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA regulations and institutional policies.
- Achieved operational excellence by continuously monitoring and evaluating the performance of medical records staff members.
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
Claims Specialist
UnitedHealthcare
07.2014 - 06.2018
- Utilized appropriate cost containment techniques to reduce overall claim costs.
- Conducted full claim investigations and reported updates and legal actions.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Customer Service Representative
Xerox
05.2013 - 07.2014
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Recorded account information to open new customer accounts.
- Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Education
No Degree - Accounting And Business Management
Alcorn State University
Lorman, MSHigh School Diploma -
Manchester Academy
Yazoo City, MS05.2011
Skills
- Fraud prevention
- Regulatory knowledge
- Anti-Fraud Systems
- Cybersecurity awareness
- Telephone and email etiquette
- Case Management
- Data Analysis
- Effective Communication
- HIPAA Compliance
- Customer Service
- Written and verbal communication
- HIPAA Regulations
- Medical terminology understanding
- Medical Records Management
- Insurance Claims Review
- Claims Investigation
- Time Management
Timeline
Fraud Specialist
US Bank National Association
12.2021 - Current
Medical Records Specialist
Merit Health Central Hospital
06.2018 - 12.2021
Claims Specialist
UnitedHealthcare
07.2014 - 06.2018
Customer Service Representative
Xerox
05.2013 - 07.2014
No Degree - Accounting And Business Management
Alcorn State University
High School Diploma -
Manchester Academy