Trained professional in reviewing and processing Supplemental Health, Franklin Madison Hospital Stay, Pearl Cancer, Unemployment, Disability and Life Claims.
Recognized for providing optimum service to claimants and clients.
Accustomed to handling sensitive and confidential information.
Attentive team player. Motivated to succeed in a fast - paced and deadline driven professional environment.
Ability to work with stressed, confused and upset individuals in need of benefit information and support.
Organized, driven and adaptable with excellent planning and problem solving abilities.
Organized and dependable at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
42
42
years of professional experience
Work History
Customer Benefits Payment Specialist
Securian
05.2017 - Current
I currently review and process Supplemental Health Claims which include Accident, Critical Illness, Hospital Indemnity and Health & Wellness.
I previously reviewed and processed Franklin Madison Hospital Stay claims, Pearl Cancer claims and Unemployment Claims as well. I continue to be a resource and assist the Macon IU team with any questions or assistance they may need,
I processed Disability and Life claims prior to the reorganization of the teams.
I have met and continued to meet my commitments for the 4DX WIG's and have reduced my turn around times significantly on all types of claims.
Maintained up-to-date knowledge of industry trends, regulations, and best practices to ensure compliance in all payment processes.
Boosted customer satisfaction with timely and accurate processing of various payment methods.
Strengthened financial security by monitoring potential fraudulent activities and implementing preventive measures.
Business Operations Representative
Securian
02.2016 - Current
Support services for other departments
Processed mailing of claim documents
Incurred claims
Phone Support
Miscellaneous tasks as needed
Owner/Manager of Yonna's Hallmark Store
Self Employed
07.2008 - 08.2015
Managed financial aspects of the business, including budgeting, financial reporting, and tax preparation.
Implemented marketing strategies to increase brand awareness and attract new customers.
Negotiated contracts with suppliers for better pricing and terms, reducing overall costs for the business.
Expanded product offerings by researching market trends and identifying potential growth opportunities.
Mentored staff members on best practices in customer service and sales techniques, leading to increased performance levels.
Developed and maintained strong relationships with customers, resulting in repeat business and referrals.
Increased customer satisfaction by implementing efficient business processes and providing exceptional service.
Maintained product inventory and visual displays.
Store Manager
Linde's Hallmark
07.1998 - 07.2008
Increased store profitability by implementing cost-saving measures and efficient inventory management strategies.
Improved customer satisfaction through staff training in customer service and product knowledge.
Maximized sales by creating innovative visual merchandising displays and store layouts.
Developed a successful employee retention plan, reducing staff turnover rates significantly.
Clerk Typist III /Nursing Unit Coordinator
Ramsey County Nursing Home
07.1994 - 07.1998
Enhanced office efficiency by performing accurate data entry and document processing tasks.
Supported team members by managing multiple administrative tasks, including filing and scheduling appointments.
Streamlined communication within the organization through timely responses to emails and phone calls.
Ensured accuracy of records by consistently updating and maintaining databases with up-to-date information.
Improved overall productivity by efficiently prioritizing and completing assigned tasks in a timely manner.
Contributed to a well-organized office environment thorough detailed file management and record-keeping practices.
Delivered exceptional customer service when interacting with clients, addressing their needs promptly, and professionally.
Maintained a high level of confidentiality when handling sensitive information, ensuring the privacy of residents and colleagues alike.
Responsible for maintaining resident charts, scheduling appointments and transportation.
Processed Medicare Claims
Handled resident trust fund and petty cash.
Certified Nursing Assistant / TMA
Ramsey Nursing Home
02.1991 - 06.1994
Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
Assisted patients with daily living activities for enhanced comfort and wellbeing.
Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
Administered medication and treatments
Built rapport with patients and families, providing emotional support during difficult times.
Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
Clerk Typist III
Ramsey County Nursing Home
11.1988 - 01.1990
Enhanced office efficiency by performing accurate data entry and document processing tasks.
Supported team members by managing multiple administrative tasks, including filing and scheduling appointments.
Streamlined communication within the organization through timely responses to emails and phone calls.
Ensured accuracy of records by consistently updating and maintaining databases with up-to-date information.
Clerk Typist III /Child Support Specialist
Ramsey County Attorney's Office
05.1986 - 04.1988
Delivered exceptional customer service when interacting with clients, addressing their needs promptly, and professionally.
Contributed to a well-organized office environment through thorough file management and record-keeping practices.
Improved overall productivity by efficiently prioritizing and completing assigned tasks in a timely manner.
Researched and processed paternity files
Processed and supported child support files and cases
Certified Nursing Assistant / TMA
Ramsey Nursing Home
09.1982 - 04.1986
See above job description for Certified Nursing Assistant andTMA
Education
High School Diploma -
New Richmond High School
New Richmond WI
05.1981
Certified Nursing Assistant/TMA
WITI
New Richmond WI
05.1981
Business Math & Machine Calc
WITI
New Richmond, WI
05.1981
Skills
Attention to detail
Policy Interpretation
Claims Investigation
Claims Processing
Decision-Making
Claims Evaluation
Ability to work independently or on a team
Work well under pressure and able to prioritize work as needed
Customer Operations Sr. Rep (Business Data Input & Review Specialist) at Randstad (Contract with Securian)Customer Operations Sr. Rep (Business Data Input & Review Specialist) at Randstad (Contract with Securian)