Customer Service Representative
Resume:
Kierstan Alex
Renton, Washington, 98058, United States
**********@*****.***
http://www.linkedin.com/in/kierstanalex
SUMMARY
( Analyzing and researching details of benefit plans and contracts
(including PPO, POS, HMO, Government and Self-Insured Plans).
( Benefits Administration for Brokers (including FSA, COBRA, HSA, HRA &
Medicare).
( Processing Medical Claims for All Claim Types (using ICD-9, CPT4, HCPC
Coding & Medical Terminology).
( Supervising Customer Service Call Center and Claims Department (including
training, auditing, and performance review).
( Creating and developing Policies & Procedures, Customer Service Benefit
Tools and updating company websites.
( Presently pursuing Life & Disability Agents License.
EDUCATION
Heald School of Technology Fresno California
AAS Degree - Computer & Electronics Technology, March 1996
Renton Technical College Renton Washington
Certificate - Computer Applications, March 1991
Lindbergh High School Renton Washington
Diploma, June 1985
PROFESSIONAL EXPERIENCE
CTS International - TEMP Seattle Washington
Boeing Benefits Specialist 3 May 2013 - Current
( Review Data Management Reports to ensure all employee data is correctly
input in HRMS system.
WIDENET CONSULTING/PROVIDENCE - TEMP Renton Washington
HRSC Customer Service October 2012 - May 2013
( Update and change employee information and benefits in Lawson System.
( Coordinate with Team to ensure all Open Enrollment Materials are
presented accurately.
( Review and provide all benefit information to employees.
( Utilize documentation from Webnow to update employee personal
information.
( Process Newhire/Rehire and Internal Positions in Taleo System.
HEALTHCARE MANAGEMENT ADMINISTRATORS Bellevue Washington
Supervisor Claims Analyst October 2010 - December 2011
( Supervised remote claims analysts via telephone and email to ensure
claims were handled properly.
( Research complex claims and benefit issues to clients, analysts, and
account managers.
( Responsible for all management related duties including performance
management/evaluations.
( Establishment of objectives, and participates in the selection of new
hires.
( Provides ongoing training and employee development to team members and
ensures all receive communication of corporate/department policies and
procedures.
FIRST CHOICE HEALTH ADMINISTRATORS Seattle Washington
Supervisor Customer Service March 2007 - January 2010
( Supervised Customer Service Representatives providing benefits and claims
questions to providers, members and brokers.
( Research and respond to complex customer service situations.
( Coordinate and provide training to customer service staff.
( Responsible for all management related duties including performance
management/evaluations.
( Establishment of objectives, and participates in the selection of new
hires.
Customer Service Representative November 2007 - March 2008
Assist in resolving benefit, claims, and billing issues with clientele.
( Process medical employee claims for all claim types.
BELL ANDERSON INSURANCE Bellevue Washington
Customer Service Agent April 2005 - March 2007
( Assist in resolving benefit, claims, and billing issues with clientele.
( Obtain rate quotes for medical, dental, life, and disability products.
( Produce product mix options for the sales agents.
( Maintain accurate records regarding group benefit mixes, agent
commissions, and sales.
PACIFIC RIM FINANCIAL GROUP Tukwila Washington
Benefits Analyst May 2002 - March 2005
( Administer COBRA benefits for groups of 20 or more employees.
( Administer Section 125 Flexible Spending Accounts for enrolled groups.
( Assist in resolving benefit, claims, and billing issues with clientele.
( Obtain rate quotes for medical, dental, life, and disability products.
CIGNA HEALTH Fresno California
Claims Analyst March 1998 - August 2002
( Process and adjudicate all claim types using HCPC, ICD9 and CPT coding.
( Review and analyze contract of benefits to interpret benefits for claims
adjudication.
REGENCE BLUE SHIELD/KCMBS Seattle Washington
Customer Service Representative Walk in August 1992 - February 1995
( Provide customer service in walk in service area to members, provider,
brokers and prospective clients regarding claims and benefits.
( Administered all plan types which included HMO, PPO, BHP, FEB, Medicare
and Individual Plans.
( Administered inter plan transfers from one Blue Shield to another Blue
Shield in state and out of state.
Claims Processor April 1991 - August 1992
( Process all claim types for Boeing Division with the use of Medical
Terminology, CPT Coding, ICD9 Coding and HCPC Coding.
SKILLS & EXPERTISE
Typing 70+ wpm
10 Key by Touch
Microsoft Office (Excel, Word, Outlook)
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