Tiquandra Ford
Riverview
Summary
Experienced customer service professional with a strong understanding of service delivery and exceptional multitasking skills. Cultivates and nurtures professional relationships to drive business growth and enhance profitability. Ensures long-term customer satisfaction by consistently delivering high-quality service and unmatched support. Proficient in implementing customer service best practices and exploring options to optimize customer experience.
Overview
6
6
years of professional experience
Work History
Claims Processor
UF Health
11.2021 - 12.2024
- Streamlined procedures to boost effectiveness in handling claims.
- Monitored and managed claim expenses to control costs and maximize profitability
- Revamped claims system to enable streamlined information sharing with other departments.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively
- Maintained high-quality standards while managing multiple claims within tight timelines.
Medical Claims Representative
Sun Coast Hospital
11.2020 - 09.2021
- Worked with legal teams to achieve favorable outcomes against fraudulent claims.
- Provided detailed explanations of coverage to policyholders.
- Maintained accurate and up-to-date records of claim information for future reference
- Evaluated payer suitability to safeguard organization.
Insurance Claims Representative
Afni
03.2019 - 11.2020
- Maintained strong client relations by consistently updating relevant stakeholders on claims progress.
- Collaborated with claims adjusters and examiners to accelerate processing procedures.
- Maintained composure and professionalism in high-pressure scenarios while addressing conflicts.
- Guaranteed adherence to HIPAA regulations in managing confidential patient data.
Education
Bachelor's Degree - Criminal Justice/Human Services
Hillsborough Community College
Plant City, FloridaSkills
- Typing Speed: 45 WPM
- Telephonic Communication Skills
- Service Excellence
- Strong Verbal and Written Skills
- Collaborative Team Dynamics
- Proficient in Insurance Regulatory Standards
- Claims Management
- Data Management
Timeline
Claims Processor
UF Health
11.2021 - 12.2024
Medical Claims Representative
Sun Coast Hospital
11.2020 - 09.2021
Insurance Claims Representative
Afni
03.2019 - 11.2020
Bachelor's Degree - Criminal Justice/Human Services
Hillsborough Community College
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