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Data Entry Claims Manager

Location:
Staten Island, NY
Posted:
February 10, 2024

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Resume:

*** **** **** ******, ********, NEW YORK, ***** 347-***-****

Fidda Shamshudeen

PROFILE

An accomplished customer centric professional with extensive experience working with a variety of organizations. CRM experience includes performing daily record keeping, ensuring accurate details for all transactions, resolution of claims in accordance with company standard and regulatory requirement. A reliable associate with demonstrated knowledge of a paperless secure environment with excellent leadership skills, as demonstrated by ability to lead discussions with new employees on the responsibilities of the claims department. TECHNICAL COMPETENCIES

• Cloud

• Excel

• Plexis

• Altair

• Salesforce

• MetTel

• Viper

• Outlook

• PowerPoint

• Word

• BroadSoft

PROFESSIONAL EXPERIENCE

MARWOOD GROUP - US IMAGING New York, NY

Senior Claims Analyst Sept. 2014 – Present

Responsibilities and Accomplishments:

Handle revenue posting for clients; track revenue and manage refund requests for all clients. Utilize Plexis and Viper to track information and updates for all patients and clients. Report directly to claims manager and support the claims department in performing transactions and maintaining accurate records. Perform cost recovery and subrogation functions. Process, reconcile, and post insurance claims remittances and other payments. Maintain and update claims transactions, account records, spreadsheets, and databases. Perform daily record keeping, ensuring accurate details for all claims transactions. Supervise the work of trainees or interns leading discussions on the functions and responsibilities of the claims

Claims Representative Oct. 2010 - Sept. 2014

(On assignment through Bender Consulting Services, Oct. 2010 - Apr. 2011) Responsibilities and Accomplishments:

Utilized Plexis and Viper to track information and updates for 3.6 million patients and various clients. Reported directly to claims manager and supported the US Imaging claims department in performing claims transactions and maintaining accurate claims records. Maintained and updated secure claims hard or soft copy. UNITED STAFFING New York, NY Jan. 2006 - Mar. 2008 Assistant Archiving Manager

(On assignment at Goldman Sachs Group)

Responsibilities and Accomplishments:

Fidda J. Shamshudeen Page 2

745 EAST 31ST STREET, LJ BROOKLYN, NEW YORK, 11210 347-***-**** Reported directly to the archiving manager and assumed primary responsibilities for the Goldman Sachs archiving and compliance project. Liaised with bankers to manage the archiving process. Communicated with legal teams for final records of deals. Updated and maintained several databases. Maintained reports on outstanding transactions. Updated company-specific software with transaction details. File management hard and or soft copy. LA PRETA ASSOCIATES Staten Island, NY Dec. 2004 - Dec. 2005 Administrative/Personal Assistant

Responsibilities and Accomplishments:

Directly oversaw and managed the proprietor’s administrative support. Managed calendars, household organization, and travel arrangements. Organized and maintained files and documents. Conducted project research and provided results via phone and internet.

PROMETRIC Brooklyn, NY May 1999 - Dec. 2004

Administrative Assistant

Responsibilities and Accomplishments:

Utilized computer software to maintain and update the client database, track office inventory, and generate correspondence and reports for executive management. Upgraded and installed testing software for clients. Provided general office and administrative support. Purchased computer and office supplies. Supervised and trained five employees on company policies and procedures.

VOLUNTEER ACTIVITIES

• National MS Society - New York City Chapter, New York, NY, Information Systems and Volunteer, Assisted with managing the Altair database. Updated donor and event participant accounts. Proofread and verified validation reports produced by department team members. Assembled MS Society event mailings and update mailing lists, June 2008 - May 2010

EDUCATION

HUNTER COLLEGE New York, NY

REFERENCES AVAILABLE UPON REQUEST



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