MICHELLE RENEE' CARMACK-BERKLIN
E-mail: abk4ev@r.postjobfree.com
Columbus, Georgia 31907
706-***-****(Cell)
2679(Home)
CAREER OBJECTIVE
To obtain a professional position where I may utilize my education,
business knowledge, experience, and abilities to the best mutual
advantage for my company and myself.
WORK HISTORY
Aflac,
Columbus, Georgia
Claims Specialist III
2002 - 2010
Performed diverse complex duties that require comprehensive knowledge of
Aflac products to resolve issues that require the review and analysis of
various components of the claim; Processed claims using knowledge of
medical terminology, CPT codes and ICD-9 codes that may be complex and/or
sensitive, including but not limited to the paying, denying, and pending of
claims based on the information submitted for review; Determined benefit
payment amounts using basic math; Prepared complex files to be presented to
Legal, Medical, or Claims Review Committee; performed duties under nominal
supervision, rarely referring specific situations to others unless
clarification or interpretation of company policy is involved; Researched
and responded to requests from insured, providers, agents, and attorneys
regarding claim status and policy provisions; Assisted in work assigned to
the unit; Served on committees and short or long-term projects as Subject
Matter Expert as needed.
The Family Center,
Columbus, Georgia
Administrative Assistant
2001 - 2002
Performed administrative and office support activities for multiple program
directors and other staff members; Fielded telephone calls; Received and
directed visitors; Prepared and distributed all meeting minutes; Assured
discreet handling of all business; Arranged board meetings; Designed forms
for internal/external use; Distributed external mail to appropriate
departments; Prepared, filed, and faxed correspondence; Accepted payments
from customers; Supervised clerical staff in supervisor's absence.
New Horizons Community Service Board,
Columbus, Georgia
Secretary
1996 - 2001
Relieved management of administrative detail; Maintained procedures manual
to ensure consist performance of routines; Composed correspondence/reports;
Performed medical records audits; Maintained calendar for department;
Prepared and distributed all meeting minutes; Assured discreet handling of
all business; Billed charges and posted payments to customer accounts;
Maintained inventory levels of office supplies and equipment; Maintained
staff personnel records, time sheets, and leave time; Performed insurance
pre-certifications; Trained and supervised three other staff members;
Attended seminars/conferences.
EDUCATION/TRAINING
UNIVERSITY OF PHOENIX, Phoenix, Arizona, Master of Business Administration,
2010
UNIVERSITY OF PHOENIX, Phoenix, Arizona, BS in Business Administration,
2007
References Available Upon Request