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
11
11
years of professional experience
Work History
Claims Trainee
WPS Health Solutions (Remote)
07.2023 - Current
Ensured compliance with applicable federal, state and local laws governing insurance policies and practices.
Researched relevant documents, such as medical records and police reports, to support claim decisions.
Collaborated with colleagues to resolve difficult claims issues in a timely manner.
Provided guidance on complex claims requiring special attention or expertise from higher levels of management.
Responded promptly to inquiries from internal departments regarding claim resolution strategies.
Analyzed customer policies to determine coverage eligibility and payment amount.
Adhered to established procedures while processing claims accurately.
Billing and Collections
BlueCross BlueShield, National Alliance (Remote)
09.2022 - 04.2023
Negotiated payment plans with delinquent customers when necessary.
Reconciled disputed items and resolved any issues that arose in a timely manner.
Researched customer inquiries regarding payment status and provided timely responses to customers' inquiries.
Investigated discrepancies between customer payments and invoices to resolve billing issues quickly and accurately.
Identified opportunities for improvement in existing processes related to billing and collections operations.
Processed incoming payments, posted them correctly to customer accounts, and prepared bank deposits.
Reviewed overdue accounts and contacted clients via phone or email to collect payments on past due balances.
Financial Services Representative
Verizon Wireless (Remote)
02.2020 - 10.2021
Received and processed deposits, withdrawals and loan payments, keeping financial records up-to-date.
Held financial conversations with clients and prospects to determine needs and provide appropriate solutions.
Ensured that all customer inquiries were answered promptly and completely.
Fostered relationships with new and existing customers through excellent customer service skills.
Processed transactions quickly and accurately in accordance with established procedures.
Worked collaboratively with other departments to provide comprehensive solutions for clients.
Established strong and positive working relationships within organization to contribute to team success.
HR Payroll Specialist
Blush Salon And Beauty Bar (Remote)
04.2013 - 09.2018
Created reports summarizing payroll data for management review.
Provided support to employees regarding payroll inquiries or questions.
Communicated regularly with external vendors regarding benefit enrollments, terminations and changes in coverage levels.
Managed electronic personnel files ensuring confidentiality is maintained at all times.
Reconciled monthly bank statements to ensure accuracy of payments made through direct deposit.
Resolved discrepancies in paychecks or other payroll issues by researching and correcting errors in calculations or inputting data.
Maintained employee records and payroll information, including compensation, benefits, tax deductions, attendance records and other related data.
Processed new hire paperwork and entered employee information into the HRIS system to ensure accurate tracking of all employment activities.
Skills
Time Management and Telephone Etiquette
Verbal & Written Communication
Interpersonal communication skills
Third Party Invoicing and reconciliation
Multitasking & Prioritization
Collections, Billing, Office management
Teamwork Collaboration and De-escalation Techniques