Edi Claims Manager
Resume:
Allison Glass
Carrollton, TX **007
Experience
Health Care Service Corporation 8/23/2010 - Present
Claims Examiner
Research claims on the Blue Chip Blue Card Prap FSS Premier
Analyze claims on a daily basis for accuracy
Possess the skills and knowledge to adjust a claim if claim it is not accurate.
Sent out medical request to providers answer GENINQS to the home plan. Attach medical records for open prx.
Assisted department with training of new employees on an as needed basis.
Dearborn National
Life Claim Customer Service 11/16/2009 – 8/23/2010
Handled incoming inquiries regarding life and disability benefits
Inquiries consisted of:
oGroups calling in to report a claim or request status of a claim of one of their members.
oDisability claimants requesting status of their benefits.
oFamily, Beneficiaries, or Funeral Homes calling in to report a death or to obtain status of a life claim.
Communicated to claim analysts via Seibel if further follow up to a caller’s concern was required.
Utilized Docsql to answer most of the callers’ questions regarding status of claims.
Assisted team on any additional project as needed.
Dr. Gregory Shy, Chiropractor 03/01/2009 – 07/01/2009
Bookkeeper/Customer Service
Handled incoming inquiries regarding benefits, billing, and payments.
Made outgoing calls to obtain benefit information from insurance companies and to customers regarding collections
Oversee office duties such as backup to receptionist for scheduling appointments and any other task at hand.
Responsible for confidentiality of records.
Developed strong relationships with customers, office staff, and doctors.
Supports daily operations in the doctor's absence.
Dr. Gary Martin, Chiropractor 06/01/2006 – 03/01/2009
Bookkeeper/Customer Service
Handled incoming inquiries regarding benefits, billing, and payments.
Made outgoing calls to obtain benefit information from insurance companies and to customers regarding collections
Responsible for auditing and maintenance of accurate accounting records.
Oversee office duties such as backup to receptionist for scheduling appointments and any other task at hand.
Responsible for bringing in well over $78,000 in unpaid and past due accounts.
Responsible for confidentiality of records.
Developed strong relationships with customers, office staff, and doctors.
Supports daily operations in the doctor's absence.
American Legion Post 597 02/01/1998 – 06/01/2006
Staffing Manager
Supervised staff activities to ensure correct and efficient workflow.
Handles complaints and irate customers.
Frontline customer service, providing excellent service to patrons.
Scheduling and overseeing special projects and occasions to assure satisfaction of customers.
Handled stock in order to meet customer demand.
Responsible for payroll and taxes including tax preparation
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