Sissy Allen
Springfield,IL
Summary
Dynamic leader with a proven track record at HCSC - Blue Cross Blue Shield of Illinois, enhancing claim processing efficiency and reducing backlogs through meticulous research and effective time management. Skilled in teamwork, problem-solving, and implementing workflows, I excel in fast-paced environments, demonstrating adaptability and a keen attention to detail. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to using these skills to contribute to company and community growth and success
Overview
15
15
years of professional experience
Work History
Refund Adjudicator
HCSC - Blue Cross Blue Shield of Illinois
10.2021 - Current
- Ensured accurate determinations with meticulous research and thorough investigation of disputes.
- Improved claim processing times by implementing efficient workflows and prioritizing urgent cases.
- Reduced case backlogs by effectively managing workload and meeting strict deadlines for resolution.
- Presented conclusions in clear and concise language that was easily understood by all parties involved in the adjudication process.
Case Field Supervisor
Help at Home
02.2017 - 07.2021
- Monitored employee performance for compliance with regulations and policies.
- Supervised field operations teams to complete projects within established timelines.
- Maintained accurate records of field activities, ensuring proper documentation was available for internal reviews and audits.
- Resolved customer complaints to maintain satisfaction and loyalty.
- Upheld company standards by enforcing strict adhererce to policies and procedures during all field activities.
- I kept schedules between the caregivers and the clients, maintaining balance between contractual hours and clients needs.
- Kept accurate records of employees and clients with contracts from state organizations
- started in field as a caregiver
Office Manager
Humphreys Market
03.2010 - 08.2015
Education
High School Diploma -
Carlinville High
Carlinville, IL06-1990
Skills
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Leadership skills
- Listening skills
- Multitasking Abilities
- Adaptability and flexibility
Timeline
Refund Adjudicator
HCSC - Blue Cross Blue Shield of Illinois
10.2021 - Current
Case Field Supervisor
Help at Home
02.2017 - 07.2021
Office Manager
Humphreys Market
03.2010 - 08.2015
High School Diploma -
Carlinville High
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