Lauren E. Valentino www.linkedin.com/in/laurenvalentino
*** ********* ** ******* ****, OK 73110 405-***-**** ac7ihu@r.postjobfree.com
SKILLS
Claims Handling Medical Billing Microsoft Office Suite products
Data Entry Windows XP and Mac OS Excellent Communication Skills
Information Security Customer Service
WORK EXPERIENCE
Claims Service Representative Gallagher Bassett Services, OKC, OK Dec 2016 – Current
Review accident and injury reports and Doctor's First Report of Injury forms to determine proper actions under Workers' Compensation laws and regulations
Obtain background information; and open/adjust claims
Review and pay related medical bills; Verify mileage payment requests, pharmacy reimbursements, and other bills
Establish and maintain monetary claim reserves to cover medical costs, as well as projected miscellaneous and compensation costs
Communicate verbally and in writing with injured employees, their departments, physicians, dependents, attorneys, City safety representatives, Workers' Compensation Appeals Board members, and other interested parties
Review established claims periodically to prompt action and closure, and/or settlement
Set medical evaluations and coordinate return to work scheduling
Attend mandatory meetings relevant to cases, as well as continued education courses
Provide exceptional customer service to those contacted in the course of work
Claims Technical Assistant Gallagher Bassett Services, OKC, OK Sep 2016 – Dec 2016
Provide clerical and administrative support to local and national offices
Process data, provide direct support to claim representatives
Maintain office records, appointment calendars and travel itineraries.
Answer telephones, filing, mail processing, document scanning, letter and other document preparation
Bookkeeper Heartland Tax Service, Shawnee, OK Apr 2016 – Sep 2016
Purchase supplies and equipment as authorized by management
Issue invoices to customers
Collect sales taxes from customers and remit them to the government
Ensure that receivables are collected promptly
Record cash receipts and make bank deposits
Conduct a monthly reconciliation of every bank account
Conduct periodic reconciliations of all accounts to ensure their accuracy
Maintain the petty cash fund
Issue financial statements
Assemble information for external auditors for the annual audit
Calculate and issue financial analysis of the financial statements
Maintain an orderly accounting filing system
Maintain the chart of accounts
Maintain the annual budget
Comply with local, state, and federal government reporting requirements
Process payroll in a timely manner
Leave of Absence Coordinator Sedgwick CMS, New Albany, OH Jul 2015 – Apr 2016
Establish FMLA, State, and Walmart Medical claims; track and code documentation in accordance with internal work-flow processes
Analyze FMLA, State, and Walmart Medical claims to determine eligibility and certification in compliance with state and federal regulations
Identify action plan; determine benefits due; and make timely case decisions based on service expectations as established by the client
Communicate decisions and on-going expectations with claimants, clients, and healthcare providers
Document claim handling progress, including written and oral communication with claimants, clients, and healthcare providers
Maintain professional claimant and client relationships
Complete monthly and bi-monthly training, personal progress reports, updated HIPAA regulations
Information Security Technician OhioHealth, Contract, Columbus, Ohio May 2015 – Jun 2015
Provide application access for new OhioHealth students and staff for optimal learning and job performance using OhioHealth Directory and Identity Management (ODIN), Active Directory (AD), Active Directory Application Mode (ADAM), Forefront Identity Manager (FIM), PeopleSoft, Horizon Physician Portal (HPP), Star Navigator and Horizon Patient Folder (HPF)
Manage Incident tickets in ServiceNow regarding Access Management and Auto Provisioning
Manage Request tickets in ServiceNow regarding user name and password creation, as well as account access
Provide solutions to students and staff with application technical problems such as Remote Access and Account Termination
Maintain up to date knowledge of HIPAA regulations via online training courses
Make outbound calls to designated Supervisors to confirm specific application permissions for students and staff
Document ticket resolution progress, including written and verbal communication with staff and students
Update Excel spreadsheets to match ticket resolutions
Assisted Supervisors in updating Standard Procedures for Access Management Wiki pages
Client Services Representative PMAC Lending Services, Columbus, Ohio Mar 2015 – Apr 2015
Handle incoming calls from consumers interested in our products, imported updated Lead information using LeadGen software and transfer live calls to our Licensed Loan Officers
Make outbound calls to our provided Leads based on information in Velocify software program
Conduct follow-up satisfaction emails using Microsoft Outlook and placed outbound calls to ensure superior level of customer service
Prepare and study for the National SAFE Act (NMLS) exam and states licensing exams
Educate consumers about our products and how they can benefit from our many loan programs
Shift Lead, Customer Service Speedway, Newark, Ohio Aug 2014 – Feb 2015
Manage distribution and placement of newly arrived product and merchandise
Oversee completion of all mandatory tasks to ensure superb customer service
Delegate necessary tasks to be completed to coworkers during day shifts
Maintain store operations on night shift, diffuse negative customer situations and ensure positive store impressionability for the morning rush
Customer Service Assistant State Farm, Contract, New Albany, Ohio Mar 2014 – Aug 2014
Proofing information in system and following up with designated department to ensure all necessary changes have been made before next steps in processing can take place
Print new policies and assemble documents while upholding HIPAA regulations
Produce acceptance, extension and denial letters based on lab results using Microsoft Office
Maintain up to date knowledge or policies and procedures with weekly online education courses using Adobe
Customer Service Representative Apple, PCCW Teleservices, Dublin, Ohio Aug 2013 – Mar 2014
Educate customers on their newly purchased products (software, hardware, custom built computers and accessories) using legendary Apple customer service and assist them with their order inquiries
Walk customers through basic troubleshooting steps over the phone
Escalate more advanced technical issues to the Apple Help Desk
PC Technician Huntington Bank, Contract, Columbus, Ohio Aug 2013 – Aug 2013
Project Manager assigned our 6 member team a total of 9 hours to disassemble 81 PCs and reassemble them accordingly in their new office locations
Exceed Project Manager's expectations by completing the project in 3 hours
Personally disassemble and reassemble an average of 7 PCs per hour
Technical Client Analyst ADP, Contract, Hilliard, Ohio May 2013 – Aug 2013
Receive calls from General Managers and District Managers and enroll their dealerships into the SiriusXM program
Document Progress Reports in Microsoft Excel and collaborate with colleagues using share-point
Enter Data into Network Flow and log profile progress for assigned Enrollments Teams
Technical Support Verizon FiOS, Teleperformance, Columbus, Ohio Jul 2012 – Apr 2013
Receive calls from Verizon FiOS customers and resolve their technical issues, including but not limited to Windows (XP to current) and Mac OS users
Educate customers about Verizon self-help options while staying current with technology changes and troubleshooting procedures
Take charge on every call and respect customers’ time by working efficiently to resolve their issues and provide the best service possible
Safeguard account information while updating changes to customers' accounts