SHARI FINCH
Colton,CA
Summary
High-energy Customer Service Rep. with 25 years of experience responding to customer insurance inquiries and assisting with claims. Proficient computer and multi-tasking skills and to function in fast-paced inbound call center environment.
Overview
30
30
years of professional experience
Work History
Claims Examiner/Customer Service
Employee Benefits Administration Management
Irvine, CA
08.2002 - 02.2022
- Processed, adjusted claims for Employer Groups
- Provided primary customer support to internal and external customers.
- Handled calls daily from members, providers, brokers, and HR contacts regarding, eligibility, benefits, claims
- claims processing on two systems-EBA&M and Anthem Blue Cross
- Consulted with outside parties to resolve discrepancies and create expert solutions.
- Reviewed and adjusted customer coverage levels to address, identify and resolve customer conflicts.
Claims Examiner/Customer Service
Shared Medical Associates
Riverside, CA
06.1998 - 07.2002
- Provided primary customer support to internal and external customers.
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Processed claims for Employer Groups
- Provided Customer Service through calls, emails for Members, Brokers, Employer Group Contacts, such as HR Reps
Claims Examiner/Customer Service/Team Leader
Pacific Physicians Services
Redlands, CA
04.1992 - 06.1998
- Consulted with outside parties to resolve discrepancies and create expert solutions.
- Resolved product or service problems by clarifying customer's complaint, determining cause of problem and selecting best solution to solve problem.
- processed and adjusted Employer Group Claims
- responsible for daily calls intake, regarding claims, eligibility, benefits from members, hr contacts, brokers
- responsible for a small group of employees in the claims department.
- reported directly to the Claims Manager
Education
High School Diploma -
Eisenhower Senior High School
Rialto, CA06.1984
Skills
- Insurance industry experience
- Patient contact
- Insurance coverage verification
- Understanding of medical terms
- Clerical Support
Timeline
Claims Examiner/Customer Service
Employee Benefits Administration Management
08.2002 - 02.2022
Claims Examiner/Customer Service
Shared Medical Associates
06.1998 - 07.2002
Claims Examiner/Customer Service/Team Leader
Pacific Physicians Services
04.1992 - 06.1998
High School Diploma -
Eisenhower Senior High School