SHANNON TUFT
Medical Claims Admin.; Customer Service; Healthcare; People Care
Fort Lauderdale,FL
Summary
Dedicated and focused Administrative Assistant who excels at prioritizing, completing multiple tasks simultaneously, and following through to achieve project goals. Analytical and results-oriented with major strengths in customer service, organization and detail, creativity, verbal and written communication skills. Energetic and outgoing with a drive to meet deadlines, who works well in a collaborative environment, and thrives on personal achievements. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate systems. Effective at operating within regulations and department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.
Overview
11
11
years of professional experience
Work History
Medical Claims Representative
Support Solve Insurance
Lauderhill, FL
12.2019 - 07.2022
- Primary contact in handling policy holders inquiries, regarding benefits, claims, and general assistance
- Conduct insurance analyses during consultations to ensure proper levels of insurance protection
- Assist members by enhancing their current plans with supplemental benefits for increased sales
- Investigate claims that have not processed properly and adjust to ensure accurate payments
- Call on policyholders to analyze insurance program and suggest additions or changes
- Collaborate with colleagues to exchange information on selling and marketing strategies.
- Managed large volume of medical claims on daily basis.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
Office Administrator
Private Practice
, FL
06.2017 - 12.2019
- Administered daily office operations, communications, and scheduling for multiple private employers
- Composed spreadsheets and reports utilizing programs such as Microsoft Word and Microsoft Excel
- Prepared desktop publications and graphic presentations for sales and marketing event promotions
- Planned and managed logistics for tradeshows, conventions, seminars and sales events for employers
- Assisted with marketing briefs, executive summaries, and post evaluations for tradeshows and events
- Performed accounting duties including posting account receivables and preparing checks for payables.
Client Services
Village of Skokie
Skokie, IL
10.2014 - 05.2017
- Managed a variety of customer service and administrative tasks to resolve customer issues efficiently
- Engaged with clients in a friendly and professional manner while actively listening to their concerns
- Recommended products and services to clients and accurately explained details of services offered
- Responded to concerns and followed up with a satisfactory resolution in a timely and affective manner
- Mentored and trained less-experienced personnel ensuring a strong focus and drive for quality.
Medical Receptionist
Kaiser Permanente
Panorama City, CA
09.2011 - 08.2014
- Responsible for the daily operation of all administrative functions for a busy medical office environment
- Supervised several employees pertaining to patient phone call triage, medical records and patient flow
- Scheduled, tracked and provided follow-up of pre and posted surgical administrative needs
- Performed regular monitoring of charges and payments and updated financial records accordingly
- Mentored and trained less-experienced personnel ensuring a strong focus and drive for quality.
Education
Certification in Small Business Management -
Lakeland College
Skills
Productive - A highly motivated worker who likes to stay busy and productive at all timesundefined
Timeline
Medical Claims Representative
Support Solve Insurance
12.2019 - 07.2022
Office Administrator
Private Practice
06.2017 - 12.2019
Client Services
Village of Skokie
10.2014 - 05.2017
Medical Receptionist
Kaiser Permanente
09.2011 - 08.2014
Certification in Small Business Management -
Lakeland College
Similar Profiles
Jason GarrisonJason Garrison
Director of Client Relations at We Solve InsuranceDirector of Client Relations at We Solve Insurance
Wendie ManlyWendie Manly
Consultant at We Solve InsuranceConsultant at We Solve Insurance
Pooja SethPooja Seth
Lead Assistant Manager - Process Excellence & Ops at US Insurance - P&C, Health Insurance, Legal supportLead Assistant Manager - Process Excellence & Ops at US Insurance - P&C, Health Insurance, Legal support
Elijah MontasElijah Montas
Project Manager at NTT DATAProject Manager at NTT DATA
Ioana MarsielloIoana Marsiello
Clinical Operations Liaison at Ross University School of MedicineClinical Operations Liaison at Ross University School of Medicine