Trina Tillery
Rochester,NY
Summary
Detailed Claims Processor with 7 years of experience investigating claim information for correctness. Trustworthy teammate with benefit knowledge and rapport-building skills. Noted for thoroughness and ethical customer service. Seasoned Claims Processor evaluating online entry, error correction and quality control review for final adjudication of claims. Strong business and financial acumen with proven success to maintain efficient operations. Extensive knowledge of billing, collections and fiduciary management.
Overview
11
11
years of professional experience
Work History
Service Support Representative/Retention Agent
Paychex Inc
Rochester, NY
03.2024 - Current
- Created documentation for new procedures related to service support processes
- Monitored customer accounts to ensure compliance with service level agreements
- Explained amount for expected services and provided detailed answers to customer questions
- Send out info for Workers compensation insurance, emails docusign.
Claims Processor (WFH) and in Office
Paychex Inc
Rochester, NY
10.2023 - 03.2024
- Processed a high volume of incoming claims in accordance with established policies and procedures
- Adhered to all applicable laws, regulations, and company standards while processing claims
- Applied knowledge of coding systems such as CPT-4 and HCPCS codes for proper reimbursement
- Maintained accurate records of all processed claims in accordance with departmental requirements.
Eligibility Evaluator
Monroe county Social Services
Rochester, NY
09.2022 - 08.2023
- Conducted detailed evaluations of programs, projects and activities to measure their effectiveness and efficiency
- Developed performance objectives and metrics for program evaluation
- Utilized data collection techniques such as surveys, interviews, focus groups and case studies
- Documented evaluation processes, methods used, results obtained and conclusions drawn.
Customer Service Advocate (Remote)
Lifetime Benefit Solutions
Rochester, NY
09.2018 - 10.2020
- Greeted and assisted customers with inquiries regarding products and services
- Provided accurate, valid, and complete information to customers in a timely manner
- Resolved customer complaints via phone, email, mail or social media
- Processed orders, forms, applications and requests
- Assisted management with the development of new strategies for improved customer satisfaction.
M & B Processor
Excellus BCBS
Rochester, NY
09.2013 - 06.2014
- Provided assistance to underwriters in the review process of loans.
- Prepared closing documents for approved loans according to company procedures.
- Researched customer accounts and ensured timely payments were made.
- Verified borrower information including income, assets, liabilities and employment history.
- Maintained accurate records of all loan transactions in database systems.
Education
High School Diploma -
Harry Van Arsdale H.S.
06.1997
Business Management -
Monroe Community College
Skills
- Excellent interpersonal communications skills
- Professional Attitude, Attention to detail and dedicated with high quality standards
- Software Navigation
- Computer Skills
- Technical Support
- Customer Service
- Customer Retention
- Data Entry
- Listening Skills
- Tech-Savvy
- Warranty Claims Process Management
- Strong Work Ethic
- 45 wpm Typing Speed
- Professional telephone demeanor
References
References available upon request.
Timeline
Service Support Representative/Retention Agent
Paychex Inc
03.2024 - Current
Claims Processor (WFH) and in Office
Paychex Inc
10.2023 - 03.2024
Eligibility Evaluator
Monroe county Social Services
09.2022 - 08.2023
Customer Service Advocate (Remote)
Lifetime Benefit Solutions
09.2018 - 10.2020
M & B Processor
Excellus BCBS
09.2013 - 06.2014
High School Diploma -
Harry Van Arsdale H.S.
Business Management -
Monroe Community College
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