Mrs. Terry Holden
Houston, Texas 77086
acvxdl@r.postjobfree.com
I have paid almost all plans through out the years. I know the ins and outs of the Insurance business. Although I have been out of the business since 1999, I quickly pick up new programs and the knowledge of claims, is still there. I am eager to learn new plans, and systems.
Types of plans paid: Met, Tru-group, TPA, PPO, PHN, EPO, STD, LTD, HMO, Dental, Comprehensive Major medical, Basic Major medical And Medicare.
I have had experience in Quality Control, Evidence of eligibility, Right of recovery, efficiency/production reports, and trained new employees. Worked with Agents, providers and policy holders in regards to any problems they may have or just status of claims.
If the job requires anything to do with processing claims or appeals for denied claims I can do it. I can also verify coverage and understand policies.
I am quick to learn new computer programs, and have paid claims on paper a long while ago. I have paid individual claims and group claims. Show me the programs and the job at hand and I will be ready to go.
I also have had dealings with my last husband's businesses. One was a restaurant, the other a body shop both across the street from one another. I did the books, W-2s, dealt with personnel, managers and workers. I was also working a full time job.
I am looking for a full time job as a Manager/Supervisor/Team Lead, in Insurance claims processing.
I am not licensed to sell.
Mrs. Terry Holden
6511 Bryant Park Ct.
Houston,Texas 77086
Required income: $35-55K per year, negotiable
Employment History:
BC/BS or Texas/ Previously Aetna /New Your Life
10/13/1996-09/17/1999
Team Lead for Claims and TDI Appeals.
Watched over the appeals claims department making sure the appeals were processed within the states guidelines by auditing various claim appeals, and accurately, auditing various claim appeals. I would go to daily meeting for all denied claims, along with supervisor, manager and director of claims. Helped pay claim appeals and TD.I. appeals so we could keep within guidelines. Trained new employees.
Central United Ins. Co.
3/1994-10/1996
Claims Processor
Paid Individual plans for: Cancer, Hospitalizations, STD, LTD,
Accident policies, policies for travel to hospital from home and back,
also paid dental claims. I enjoyed working here, because it never got dull, so many different policies.
United States Life Ins. co. (Dallas)(Halliburton)
4/11/88-11/6/1990
Team Leader for claims area.
Watched over claims and gave opinions and help to the claims personnel when needed. Also would look up unpaid control #’s. Reports given to Supervisor.
Health Economics Corp. (Life of the Southwest) Dallas
1/05/1987-4/3/1988
Senior claims examiner.
Helped with claims processing and trained new employees
Audited claims chosen randomly off of claims processors desks. Also learned to pay HMO, PPO, EPO along with major medical claims.
elp
G.I.C. Ins. Co. - Houston
01/17/1985-11/19/1986
Claims Examiner
Paid claims, Major Medical. Checked for right of recovery
Checked for pre-existing conditions.
Provident Life Ins. Co.
5/6/1979-7/20/1983
Claims Examiner/Group plans.
This is where I was trained to be a claims processor. Each
Examiner was given a large group to handle, therefore getting to know the people
Agents and providers.
Prior to the job at Provident I worked at an Agents office
R.B. Colvin: Secretary
After that I worked at J.H. Blades, Agents office
Mail clerk