Velma E. Hughes

• Process and Adjust claims daily (medical, dental, vision disability and Rx)
• Monitor and process adjusted claims on backlog
• Processed refunds, voids and stop payments on claims.
• Request refunds from participants and providers directly or through Anthem for any overpayments made.
• Balance monthly refund reports for accounting department (refunds and stop payments) and for review by Trustees
• Answer overflow phone calls from the Health and Welfare department and assist with walk-ins when needed
• Trained new Claims Adjustors

• Accept and complete job assignments
• Functioned in various temporary positions
• Alpha and numeric data entry operator
• Receptionist
• Switchboard Operator
• Insurance Claims Processor
• File Clerk

Researched and processed medical claims. Assisted in Provider relations via telephone and miscellaneous bill processing. Promoted to Claims Processor with additional duties of Coordination of Benefits processing with extensive data entry.

Duties were to batch, sort and prepare claims for processing, data entry, coordinating source documents for reports and explanation of benefits

Duties were to reconcile technicians field work orders, distribute petty cash payments, process accounting reconciliation with preparation of bank deposits. Other duties included answering service repair calls, scheduling installments, processing complaint resolution, setup and verified appointments for technicians and backup for dispatcher.