Diligent Claim Processor II with a Security Clearance. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
18
18
years of professional experience
5
5
years of post-secondary education
Work History
Claims Processor 2
WPS Health Solutions
Hampton, VA
10.2017 - Current
Evaluated accuracy and quality of data entered into agency management system.
Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Followed up with customers on unresolved issues.
Monitored claims processing trends to identify potential areas of improvement.
Managed workload and priorities to meet claims processing meet deadlines.
Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
Verified client information by analyzing existing evidence on file.
Modified, updated and processed existing policies.
Posted payments to accounts and maintained records.
Apple Inbound Technical Support
Ibex Global Solutions
Hampton, VA
01.2013 - 10.2017
Collaborated with vendors to locate replacement components and resolve advanced problems.
Assisted in development of system security protocols.
Created user accounts and assigned permissions.
Configured and tested new software and hardware.
Installed and configured operating systems and applications.
Helped streamline repair processes and update procedures for support action consistency.
Monitored system performance to identify potential issues.
Responded to customer inquiries and provided technical assistance over phone and in person.
Diagnosed and troubleshot hardware, software and network issues.
Removed malware, ransomware, and other threats from laptops and desktop systems.
Account Executive - Payables and Receivables
Portfolio Recovery Associates
Norfolk, VA
01.2006 - 10.2009
Maintained records by imaging invoices, debits, and credits.
Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
Developed monthly, quarterly and annual profit and loss statements and balance sheets.
Reconciled account information and reported figures in general ledger by comparing to bank account statement each month.
Recorded deposits, reconciled monthly bank accounts and tracked expenses.
Handled day-to-day accounting processes to drive financial accuracy.
Reconciled company bank, credit card and line of credit accounts, investigating and resolving discrepancies to keep accounts audit-ready.
Entered figures using 10-key calculator to compute data quickly.
Managed and responded to correspondence and inquiries from customers and vendors.
Education
Bachelor of Science - Management Information Systems
Norfolk State University
Norfolk, VA
08.1999 - 12.2004
Skills
Proficient in Microsoft Office
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Timeline
Claims Processor 2
WPS Health Solutions
10.2017 - Current
Apple Inbound Technical Support
Ibex Global Solutions
01.2013 - 10.2017
Account Executive - Payables and Receivables
Portfolio Recovery Associates
01.2006 - 10.2009
Bachelor of Science - Management Information Systems