Summary
Overview
Work History
Education
Skills
Timeline
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Tori George

Sr Claims Technician
Atlanta,TX

Summary

Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Go-getter committed to handling claims expeditiously with a strong knowledge of medical terminology. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

1
1
year of post-secondary education
5
5
years of professional experience

Work History

Senior Claims Technician

Health Care Service Corporation
Marshall, TX
04.2018 - Current
  • Evaluated accuracy and quality of data entered into agency management system.
  • Managed large volume of medical claims on daily basis.
  • Reviewed provider coding information to report services and verify correctness.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Used administrative guidelines as resource or to answer questions when processing medical claims.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.

Retail Banker

Woodforest National Bank
Atlanta , TX
06.2017 - 04.2018
  • Assisted customers with setting up or closing accounts, completing loan applications and signing up for new services.
  • Answered customer inquiries regarding account balances, transaction history, services charges and interest rates.
  • Educated customers on use of banking website and mobile apps.
  • Counted and packaged currency and coins.
  • Sold and cross-sold bank products to new and existing customers.
  • Assisted customers with compromised debit cards and issued new credentials.
  • Reconciled cash drawer and resolved discrepancies.

Customer Service Representative

Shamrock Finance
Atlanta , TX
11.2016 - 03.2017
  • Communicated acceptance or rejection to applicants via mail, email, telephone or personal consultations.
  • Set up, stored and updated customer files, department records and regulatory paperwork.
  • Verified credit histories, personal references and employment backgrounds for each applicant.
  • Reviewed and validated details of loan applications and closing documentation.
  • Processed payments and applied to customer balances.

Certified Nursing Assistant

Jena Nursing And Rehabilitation Center
Jena, LA
06.2016 - 11.2016
  • Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
  • Supported ambulation and physical therapy needs by conducting planned exercise routines.
  • Cared for residents in assisted living facility and delivered high-quality support to meet all needs.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.

Education

Vocational - CNA, Phlebotomy, EKG Technician

Central Louisiana Technical Community College - Alexandria
Jena, La
08.2014 - 08.2015

Skills

Claims

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Timeline

Senior Claims Technician

Health Care Service Corporation
04.2018 - Current

Retail Banker

Woodforest National Bank
06.2017 - 04.2018

Customer Service Representative

Shamrock Finance
11.2016 - 03.2017

Certified Nursing Assistant

Jena Nursing And Rehabilitation Center
06.2016 - 11.2016

Vocational - CNA, Phlebotomy, EKG Technician

Central Louisiana Technical Community College - Alexandria
08.2014 - 08.2015

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Tori GeorgeSr Claims Technician