Open To Work
Whitney Wood
Work Preference
Summary
Efficient professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks with precision. Specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.
Overview
8
8
years of professional experience
Work History
Claims Specialist
Social Security Adminstration
Hampton, Virginia
07.2018 - 07.2026
- Documented case notes accurately in the claims management system for record-keeping.
- Communicated with claimants to gather necessary documentation and information.
- Provided excellent customer service by addressing inquiries promptly and professionally.
- Researched state and federal laws related to disability benefits eligibility requirements.
- Reviewed and analyzed disability claims to determine eligibility for benefits.
- Maintained accurate records and files containing detailed information on each claim processed.
- Collaborated with legal staff concerning appeals of denied claims.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Organized information by using spreadsheets, databases or word processing applications.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Assisted new policyholders with processing claims.
- Handled billing related activities focused on medical specialties.
- Precisely calculated refunds, premiums, and adjustments.
- Handled modification and updating of policies.
- Retained strong medical terminology understanding in an effort to better comprehend procedures.
- Used insurance rate standards to calculate premiums, refunds, commissions and adjustments.
- Signed payment approvals accepted claims.
Education
Bachelor of Arts - Clinical Child Psychology And Elementary Education
Adams State University
Alamosa, CO05-2014
Skills
- Claims processing
- Disability law research
- Documentation accuracy
- Medical terminology
- Billing management
- Customer relationship management
- Case review
- Problem solving
- Time management
- Conflict resolution
- Policy interpretation
- Claims
- Forms preparation
- Teamwork and collaboration
- Medicaid
- Eligibility determination
- Insurance confirmation
- Insurance coverage verification
- Records management
Accomplishments
- Regional Commissioner Award
- Federal Monetary Award-Excellent Customer Service (6)
Timeline
Claims Specialist
Social Security Adminstration
07.2018 - 07.2026
Bachelor of Arts - Clinical Child Psychology And Elementary Education
Adams State University