VICTORIA RODGERS
Huntsville,AL
Summary
Skilled in handling complex insurance claims and policy processing with experience in navigating through various insurance software systems. Demonstrates strong analytical skills, adept at interpreting policies and efficiently resolving claims to the satisfaction of all parties involved. Known for maintaining high accuracy levels in document processing and data entry, contributing to streamlined operations and improved customer service outcomes. Continuously seeks ways to optimize workflows and enhance team productivity, leading to more efficient claim resolution processes.
Overview
6
6
years of professional experience
Work History
Claims Benefit Specialist
CVS/Aetna
Remote
10.2024 - Current
- Verified customer eligibility for specific benefits according to established criteria.
- Precisely calculated refunds, premiums, and adjustments.
- Developed training materials pertaining to proper procedures for handling benefit claims.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Handled billing related activities focused on medical specialties.
- Maintained up-to-date knowledge of relevant laws, regulations, policies, and procedures related to benefit programs.
Engagement Specialist
Carenet Healthcare
Remote
12.2023 - Current
- Developed client-specific strategies to increase customer loyalty and satisfaction
- Maintained professionality and efficiency while working closely with leadership
- Entered information into system to update status reports
- Verified insurance information prior to appointment booking
- Adhered to organizational policies and procedures related to appointment scheduling
- Provided clear instructions to patients regarding their upcoming visits
- Communicated effectively with clientele to maintain customer satisfaction and loyalty
- Ensured compliance with HIPAA regulations when handling confidential information
- Provided timely, courteous, and knowledgeable responses to information requests.
Customer Service Associate
Easy Money Title Pawn & Cash
Huntsville, AL
07.2023 - 12.2023
- Greeted customers and identified their needs
- Developed and maintained relationships with potential customers to increase loan business
- Reviewed credit histories, income statements, and other financial information of loan applicants
- Analyzed financial data to determine the feasibility of granting loans
- Verified accuracy of loan documents prior to approval
- Approved or denied loan applications based on established guidelines
- Responded promptly to customer inquiries regarding their accounts or other matters related to consumer lending operations.
Technical Support Advisor
Kelly Connect
Brundidge, AL
05.2022 - 06.2023
- Guided users through detailed hardware installations and technical fixes via phone call, email and live chat
- Reduced support calls by contributing self-help information, operating tips, FAQs and technical solutions to common problems
- Documented and maintained detailed records of support requests, escalations and actions taken
- Supported non-technical users by quickly investigating and resolving hardware and software issues
- Answered user inquiries regarding computer software or hardware operation to resolve problems.
Front End Associate
Lowe's
Troy, AL
05.2021 - 05.2022
- Recommended merchandise to customers based on needs and preferences
- Organized displays in visually appealing manner to attract customers and improve sales
- Used POS system with speed and accuracy to complete cash, card and check transactions for customer purchases
- Processed cash register transactions on POS and provided correct change
- Accepted checks, debit and credit cards, and gift certificates in line with company policies.
Unloader/Stocker/Cashier
Walmart
Huntsville, AL
01.2019 - 03.2021
- Accepted checks, debit and credit cards, and gift certificates in line with company policy
- Maintained high customer satisfaction levels by going the extra mile to personalize service
- Processed cash register transactions on POS and provided correct change
- Lifted more than 15 pounds without requiring assistance to keep projects moving
- Loaded and unloaded trucks using forklift and hand trucks
- Maintained a safe work area by checking the integrity of trailers and pallets
- Unloaded new products, opened containers, and routed products to the sales floor or storage locations
- Positioned products on shelves and used promotional displays to improve product visibility
- Kept the shop floor clean, organized, and well-signaled
- Assisted customers with locating, carrying, and purchasing items
- Smiled and greeted customers in and around the store to enhance the customer experience
- Restocked shelves, racks, and bins with the latest stock in attractive displays.
Education
Certification - Medical Billing And Coding
Devry University
11-2024
Advanced Degree -
Pike County High School
Brundidge, AL05.2017
Skills
- Inbound and Outbound Calling
- Account Updating
- Problem Resolution
- Customer Service
- MS Office Proficiency
- Friendly
- Team Player
- HIPAA Compliance
- Reliable
- Excellent Communicator
- Microsoft Office
- Issue Troubleshooting
- Call Center Operations
- Medical record security
- Medical Terminology
- Applicant support and service
- Telephone Etiquette
- Claims processing
- Data analysis
- Data Entry
- Regulatory compliance
- Problem solving
- Medical coding
- Attention to detail
- Effective communication
- Teamwork and collaboration
- Critical thinking
- Billing software
Timeline
Claims Benefit Specialist
CVS/Aetna
10.2024 - Current
Engagement Specialist
Carenet Healthcare
12.2023 - Current
Customer Service Associate
Easy Money Title Pawn & Cash
07.2023 - 12.2023
Technical Support Advisor
Kelly Connect
05.2022 - 06.2023
Front End Associate
Lowe's
05.2021 - 05.2022
Unloader/Stocker/Cashier
Walmart
01.2019 - 03.2021
Certification - Medical Billing And Coding
Devry University
Advanced Degree -
Pike County High School
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