Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

YOLANDA SIMPSON

Houston,TX

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Claims Adjuster

Progressive
Houston, TX
12.2023 - 02.2024
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.

Service Center Associate

Segwick
Houston, TX
05.2023 - 10.2023
  • Answered incoming calls from customers and responded to inquiries promptly and courteously.
  • Assisted in resolving customer complaints by providing product knowledge, troubleshooting steps, and problem resolution.
  • Referred unresolved customer grievances to designated departments for further investigation.

Patient Service Representative

Methodist Hospital
Merrillville, IN
04.2003 - 05.2023
  • Provided customer service by answering patient questions and addressing concerns.
  • Verified insurance information, collected payments, and scheduled appointments.
  • Reviewed patient accounts for accuracy on a regular basis.
  • Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Obtained proper authorization and identification to release confidential medical records.
  • Obtained insurance verification and authorization to submit financial clearance of patient accounts.

Education

Associate of Arts - Business Administration

Ball State University
Muncie, IN
06-1985

Skills

  • Data Collection
  • Call Management
  • Information Security
  • Data Entry
  • Account Updating
  • Active Listening
  • Positive and Professional
  • Administrative Support
  • Client Relations
  • 10-Key
  • Problem-Solving Abilities
  • Customer Service
  • Account Management
  • Medical Terminology Knowledge

Certification

  • All Lines Claim Adjuster
  • Texas Dept of Insurance
  • License No. 2954841

Timeline

Claims Adjuster

Progressive
12.2023 - 02.2024

Service Center Associate

Segwick
05.2023 - 10.2023

Patient Service Representative

Methodist Hospital
04.2003 - 05.2023

Associate of Arts - Business Administration

Ball State University
YOLANDA SIMPSON