Delores Artemus

**** ********* *****

Columbia, South Carolina 29210

803-***-****

adsfyx@r.postjobfree.com

WORK EXPERIENCE

Self Employed – Writer, photographer, motivational speaker July 2014 to Present

DeAmor Magazine - Travel Writer

Blue Cross and Blue Shield of South Carolina

National Alliance – Coordination of Benefits Department

Work Leader November 2008 to July 2014

Trained new Coordination of Benefits employees. Called Medicare for Medicare information

For subscribers. Called subscribers for other health insurance information. Worked National

Alliance monthly reports and other reports as assigned.

Blue Card Specialist September 2004 to October 2008

Processed Basic and ESRD Queries to get Medicare information on subscribers. Updated other

Health insurance information for National Alliance subscribers. Adjusted coordination of benefit

Claims. Worked monthly Medicare report.

National Alliance Customer Service Supervisor August 2003 to June 2004

Supervised call center for BB&T and U.S. Airways. Staff of 22 customer service representatives.

Customer Service Representative March 2000 to August 2003

Handled phone and written inquiries from providers and State Health Plan subscribers. Deter-

mined the nature of the call and resolved the issue, according to the State Health Plan contract

and various insurance guidelines. Adjusted subscribers claims. Called providers, if information

is needed from them. Documented research activity and finding. Educated the subscribers about their policy. Assisted in training new hires.

Quality Control Analyst – CIMR January 2000 to March 2000

Reviewed Subscriber applications that were keyed by the Enrollment Specialist. Reviewed for accuracy in keying information onto our AMMS system. Generated QC reports for each Enrollment Specialist.

Companion Health Care (Division of Blue Cross and Blue Shield of SC) April 1997 to December 1999

Enrollment Specialist –Membership Department

Processed applications of new enrollees to the Companion Health Care Insurance Plan within an established time frame. Reviewed applications to determine if complete. Contacted employer, if more information was needed. Terminated subscribers as needed. Issued letters of Creditable Coverage that were created, according to the Health Insurance Protability and Accountability Act of 1996. Performed system checks for the Health Insurance Portability and Accountability Act Project.

Blue Cross and Blue Shield of South Carolina August 1991 to March 1997

Customer Service Representative and Medical Records

Processed claims for Medical review. Handle phone calls from subscribers. Open and sorted

incoming mail.

Customer Service Representatives January 1989 to July 1991

Handled phone calls and written inquiries from subscribers. Determined the nature of the call and resolved the issue according to the State Health Plan Contract guidelines. Adjusted claims. Called providers, if information was needed from them. Documented research activity and finding.

Belk Sales Associate. November 2001 to March 2008

EDUCATION

Williston Senior High School. Wilmington, North Carolina. Graduated with Academic Degree.

May 1964. North Carolina Central University, Durham, North Carolina. Graduated with

Bachelor of Arts Degree in Home Economics and minor in Physical Science.

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