Summary
Overview
Work History
Education
Skills
References
Timeline
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Starnisha Kelly

Tappahannock,VA

Summary

With a proven track record at TTEC for enhancing claims analysis and compliance management, I excel in complex claims consulting and delivering exceptional customer service. My expertise in documentation review and accident investigations, combined with a knack for improving processes, has significantly boosted efficiency. Skilled in both settlement determinations and fostering positive client relations, I am poised to make a substantial impact.

Overview

8
8
years of professional experience

Work History

Claims Specialist

TTEC
Tappahannock, VA
10.2023 - 10.2024
  • Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
  • Investigated complex or high-value claims to identify discrepancies and fraud indicators.
  • Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.

Medical Service Coordinator

Senture
McAllen, TX
09.2021 - 09.2023
  • Managed patient registration and scheduling for medical services.
  • Assisted with the coordination of care between providers, patients and insurance companies.
  • Reviewed and verified patient information to ensure accuracy in billing.

Customer Service Representative

Teleperformance
Richmond, VA
06.2018 - 08.2021
  • Answered customer inquiries and provided accurate information regarding products and services.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Gathered customer feedback through surveys and used the data to improve customer service.

Packer

FDP Brakes
Tappahannock, VA
01.2017 - 03.2018
  • Unloaded and loaded trucks with merchandise for distribution.
  • Organized inventory in the warehouse according to established procedures.
  • Inspected packages for accuracy and completeness before shipping.

Education

Bachelor of Science - Computer Science

Stratford University
Idylwood VA
05-2021

High School Diploma -

Essex High School
Tappahannock, VA
06-2016

Associate of Arts - Business Administration

Campus EDU
New York, NY

Skills

  • Settlement determinations
  • Compliance Management
  • Coverage assessments
  • Complex claims consulting
  • Accident Investigations
  • Documentation Review
  • Claims analysis

References

References available upon request.

Timeline

Claims Specialist

TTEC
10.2023 - 10.2024

Medical Service Coordinator

Senture
09.2021 - 09.2023

Customer Service Representative

Teleperformance
06.2018 - 08.2021

Packer

FDP Brakes
01.2017 - 03.2018

Bachelor of Science - Computer Science

Stratford University

High School Diploma -

Essex High School

Associate of Arts - Business Administration

Campus EDU

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Starnisha Kelly