EXPERIENCE:

AUGUST **** - MARCH ****

COB SPECIALIST, SAG-AFTRA

Was the sole individual that would update and organize each coverage for each member of each family every quarter and place them into the orders of primary secondary and tertiary coverages.

Intake of new coverages, contact insurance in question to confirm and create solid relationships with the other plans.

In addition would do the intake of Medicare part A and B would then do the research and assist customers with the instructions on how to get the coverage if they did not have it.

Assist the members on making phone calls to the Social Security office on a conference call with the members to make it easier for them. Ran the weekly report for Anthem Blue Cross invoices and Medicare part B to make sure both reports matched what we had on file. Would process and adjust claims.

Would handle any miscellaneous team work that was needed as per request of my manager and director.

AUGUST 1998 - MAY 2013

GRIEVANCE AND APPEALS SPECIALIST, ANTHEM BLUE CROSS I did the intake of complaints from members and then did research in the files to be able to come to conclusion on the approval or denial of their request after speaking to both provider and member in both clinical and administrative situations. I also helped to process and adjust claims as needed. I provided customer service by taking incoming calls as well as making outgoing calls.

PAULA SCHMIDT

230 N Valley St. Apt 201,

Burbank, CA 91505

ad0qo9@r.postjobfree.com · 818-***-****

Dedicated COB (Coordination of Benefits) Specialist, with 30+ expert knowledge of Health Plans such as Blue Cross, Blue Shield, Cigna, Healthnet etc., Entertainment coverages such as MPI, SAG-AFTRA, EQUITY, DGA etc. Medicare medical insurance, Medicare, and compliance. 30+ Years of experience in the Medical Insurance field. Focused on the customer service and quality of patient care, providing accurate coverages, and patient education to provide the best possible outcomes.

230 N Valley St. #201 Burbank, Ca 91505 818-***-**** ad0qo9@r.postjobfree.com

I would handle any miscellaneous teamwork that has been given out by manager and director.

MAY 1995 – JULY 1998

MAMMOGRAPHY REGISTRATION, PROVIDENCE ST JOSEPH MED CENTER Create intake for registration for mammograms as well as biopsies and needle localizations. Found it rewarding to be able to give a sympathetic call to have the patient return for additional testing.

SEPTEMBER 2022 - MARCH 2023

Premiere Deli Services Brand Ambassador, I would on a daily basis create and hand out demonstration products, in hopes that the customers would purchase the Boarshead Meat and Cheese products.

MARCH 2022 - SEPTEMBER 2022

Pavilions Deli- Customer Service ordered products, made party platters and was the individual under the deli manager therefore would be doing the required temperatures for each location.

AUGUST 2019- SEPTEMBER 2021

Mills Pest Management - Receptionist scheduled all the pest visits from our technicians in addition to adding data entry work. MAY 2018 - MARCH 2019

CUSTOMER SERVICE - HANDY MARKET job required me to cut measure and package meats in the butcher location as well as having 100% Customer Service. MAY 1994

HIGH SCHOOL DIPLOMA, JOHN BURROUGHS HIGH SCHOOL BURBANK CA All star track and field athlete. Choir member and good student. SKILLS

ACTIVITIES

Enjoys spending time with her daughters and manager their club soccer team. Also enjoys hiking and biking in the local mountains.

• Phenomenal Customer

Service skills

• • • Medicare Well Able versed to connect Knowledgeable in all and Compliance

• 30 years of experience

• • Motivated Dependable Team and Player Hard

• Working Knowledgeable in

HMO,PPO,EPO,Medi-Care

and entertainment coverages.

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