Dynamic professional with a strong foundation in claims processing and customer service. Proven ability to lead teams and streamline operations, achieving performance metrics that surpass industry standards.
Overview
7
7
years of post-secondary education
15
15
years of professional experience
Work History
Key Holder
Art Eatables
Louisville, USA
01.2019 - Current
Managed daily operations and store opening procedures for a gourmet chocolate shop.
Executed cash register transactions with accuracy, ensuring balanced cash drawers.
Delivered customer service through cashiering, merchandising, and efficient restocking.
Supervised bank deposits and security procedures to support store opening and closing.
Educated consumers on products, fostering strong relationships with 20 distilleries.
Art Eatable is the world's first Bourbon certified chocolatier.
Field Claims Rep
Auto Owners
10.2024 - 05.2025
Determined policy coverage, evaluated loss amounts, and analyzed legal liability to facilitate claim processing.
Determine policy coverage, evaluate the amount of loss, analyze legal liability.
Worked toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary.
Pursued resolution of claims by attending arbitrations, mediations, depositions, or trials.
Conducted thorough investigations to gather relevant information through various channels. by phone, mail and on-site investigations.
Conducted investigations through phone, mail, and on-site visits to gather necessary information.
Service Provider Administrator
On Point Warranty
03.2023 - 08.2024
Processed claims on claims team, ensuring accuracy and compliance with company standards.
I would work with service providers and reach out by phone and email to acquire insurance paperwork that was needed and other documents.
Coordinated with service providers via phone and email to acquire necessary insurance paperwork and other documentation.
Updated account information and uploaded documents to maintain organized and accessible records.
Assisted in managing claims processes during company transitions.
Admin Assistant and Report Writer
Spherion
09.2022 - 01.2023
Handled phone inquiries to ensure effective communication.
Greeted visitors warmly to create a welcoming atmosphere.
Organized and filed reports in a systematic manner for easy retrieval., ensuring organized documentation for easy access.
Entered and logged work samples into the database for comprehensive record-keeping., maintaining accurate records for quality assurance.
Monitored and tracked daily sales activities to assess performance trends. activities to monitor performance.
Logged work samples into the database for record-keeping.
Disposed of outdated files following company policy.
Consultant
Independence Realty Trust
06.2021 - 09.2022
Perform off-site marketing research and assist in preparing marketing plans.
Developed expertise in community offerings, rents, and amenities by monitoring local market conditions and trends.
Completed application forms, assisted with application verification, screened incoming residents by objective qualification standards, and notified prospective clients of results to ensure high-quality resident selection.
Assist with coordinating resident programs and functions to assure resident retention.
Conducted off-site marketing research and contributed to preparation of marketing plans to enhance community visibility and competitiveness.
Explained lease agreements to residents and obtained necessary signatures on lease documents.
Organize and file appropriate reports, files and other community related paperwork.
Maintained activity reports by inputting daily traffic data, including telephone calls, internet leads, tours, and follow-up to track engagement and inform marketing strategies.
Provide accurate answers or transfer calls.
Technical Support Analyst
Waystar
10.2020 - 04.2021
Documented and investigated complex client issues to provide timely resolutions.
Facilitated decision-making and recommended solutions to enhance overall functionality of products.
Identified client concerns and coordinated with internal resources to ensure timely resolution.
Responded to written inquiries from clients to provide necessary information.
Demonstrated technical troubleshooting skills in resolving complex issues.
Prioritized and managed multiple tasks under tight deadlines.
Communicated professionally with clients and payers through written and verbal channels.
Follow documented HIPAA security procedures related to Protected Health Information (PHI) and financial information.
Escalated issues and concerns to achieve prompt resolutions.
Claim Analyst & Consultant
Bolder Healthcare
Louisville, USA
07.2019 - 07.2020
Produced claims analyses at a rate 40% above industry standards.
Analyzed denied provider claims, recommending actions that led to increased approval rates.
Assessed and reported on claims trends to identify opportunities for process improvements.
Focus areas include Medicare, motor vehicle accident, workman's comp, and Medicaid replacement plans.
This includes collaboration with coders and insurance companies.
Well-versed in Allscripts and other insurance software.
Claim Specialist
Humana
Louisville, USA
07.2011 - 06.2019
Progressed through roles of greater responsibility, including agent support, customer care specialist, new-hire onboarding, and claim specialist.
Managed risk adjustments for Medicare and Medicaid claims across Florida, Virginia, and Illinois.
Achieved completion rate 40% above company quotas.
Proficient in CAS, Edifecs, CCP2, Mentor, Ehub, Image viewer station, transaction management, Associate Remittance advice inquiry, and MGC Mediconnect V Risk Health.
Education
Master of Healthcare Administration - Healthcare Administration
Webster University
Louisville, KY
08.2012 - 05.2014
Master of Arts - Human Resources
Webster University
Louisville, KY
05.2002 - 08.2004
Master of Business Administration - Business Administration
Webster University
Louisville, KY
09.2000 - 05.2002
Bachelor of Business Administration - Business Administration
McKendree University
Louisville, KY
09.1998 - 05.2000
Skills
Claims processing
Policy evaluation
Transaction management and reconciliation
Customer service
Complaint handling
Effective communication
Relationship building
Time management
Problem solving
Team leadership
Team building
Team coaching
Employee onboarding
Financial reporting
Time management abilities
Volunteer Experience
Junior League of Louisville, 01/01/14, Current, Active member and volunteer
Apron Inc., 06/01/22, Current, Volunteer
Alley Cat Advocates, 06/01/14, 06/30/18, Manage trap distribution and inventory
Louisville Chorus, 05/01/16, Current, Board Vice President and Chair of fundraising
Girl Scouts, 10/01/16, Current, Board Development Committee, Volunteer for Desserts First Committee and fund development committee
Awards
Junior League of Louisville, 01/01/14, Current, Active member and volunteer
Apron Inc., 06/01/22, Current, Volunteer
Alley Cat Advocates, 06/01/14, 06/30/18, Manage trap distribution and inventory
Louisville Chorus, 05/01/16, Current, Board Vice President and Chair of fundraising
Girl Scouts, 10/01/16, Current, Board Development Committee, Volunteer for Desserts First Committee and fund development committee
Timeline
Field Claims Rep
Auto Owners
10.2024 - 05.2025
Service Provider Administrator
On Point Warranty
03.2023 - 08.2024
Admin Assistant and Report Writer
Spherion
09.2022 - 01.2023
Consultant
Independence Realty Trust
06.2021 - 09.2022
Technical Support Analyst
Waystar
10.2020 - 04.2021
Claim Analyst & Consultant
Bolder Healthcare
07.2019 - 07.2020
Key Holder
Art Eatables
01.2019 - Current
Master of Healthcare Administration - Healthcare Administration
Webster University
08.2012 - 05.2014
Claim Specialist
Humana
07.2011 - 06.2019
Master of Arts - Human Resources
Webster University
05.2002 - 08.2004
Master of Business Administration - Business Administration
Webster University
09.2000 - 05.2002
Bachelor of Business Administration - Business Administration