Medical Customer
Resume:
Leandre Davis
Laveen, AZ *****
******************@***********.***
Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Appraisal Customer Service Specialist
Rels Valuations - Bloomington, MN
August 2015 to September 2020
Assessed the value of properties and or land. Maintained high work volume and tight deadlines. Collaborated with adjusters and bankers to generate new leads up to asking price. Answer customer questions and provide information about findings. Examine clients financial records to inform on possible plans. Produced reports with detailed valuations.
Researched land property and market values to complete estimates. Gather information on near-by properties to compare and help make value determinations on properties or land. Maintained current understanding of lender requirements and documentations on properties. Complete appraisals on pre- set number of properties to meet weekly production goals. Assisted with finding someone to take photos of the interior, exterior, square footage, picture of the street view mail box and side view. Set appointments for inspections on new and or existing properties and note distinctive characteristics. Pre- paired plans and specs of properties ad or land. was the 3rd party between the bankers and sellers.
Medical Claims Adjuster
Alorica - Eagan, MN
January 2013 to July 2015
Manage large volume of medical claims o a daily basis. Used administrative guidelines as or to answer questions when processing medical claims. Identified incorrectly processed claims and complete adjustments to reprocess claims. Answer inquiries from providers re guarding subjects claims, eligibility covered benefits and approval status issues. Paid or denied medical claims based upon established claims processing origination. Evaluated accuracy and quality of data entered into agency management system. Collaborated with claims department and industry anti-fraud organization to resolve claims. Approved or denied medication and or refills. Answered inquiries from providers regarding subjects of claims and approval status and issues.
Customer Service Business Accounts
AT&T - Edina, MN
April 2009 to June 2013
Recommended products and services to customers through explaining details. Answer constant flow of customer calls.
Educate customers on promotions to enhance sales. Suggested new procedures to persuade cancelling customers to stay with company.
Entered detailed information on customer calls to track requests and document problems and record solutions offered.
Communicate with vendors regarding back orders availability for future inventory and special orders. Collect customer feedback and made process changes to exceed customer satisfaction goals. Maintained customer satisfaction with forward thinking strategies focused on addressing customers needs and resolving concerns and problems. Focused on what products fit the business correctly. Independent Skills Worker
Everyday Living - Saint Paul, MN
March 2006 to March 2010
Assisted clients with brain damage and or mental illness and improve their lives all layers of support for independent living skills. Assist with applying for housing, job skills, shopping, paying bills, setting appointments, obtaining permanent employment, personal hygiene, Able to control med intake as prescribed by doctor, Create crisis plans, etc
Education
None
High school diploma or GED
Skills
• 10 + years of Excellent Customer Service Skills. Excellent phone skills. Excellent Problem Solving Skills. Excellent Time Management Skills. Excellent Team Player. Excellent Organization Skills. Inbound and Outbound calls. Spread (10+ years)
• ye Sheets. Efficient in Microsoft Word Excel and Power Point. Excellent. Claims Resolution, Complaint Resolution, ar Processing Optimization, Sales Experience Excellent Customer Service Skills. Excellent Phone skills. Excellent inbound and Outbound skills. Credit card Processing skills. Excellent Conflict Resolutions Skills. Processing Claims, Claims Investigation Skills. Excellent Call Routing Skills, Insurance Investigation Skills. Process Medical/ Medicaid Insurance Skills. Patient data update skills,
(10+ years)
• a Account Reconciliation Skills, Patient Scheduling Skills, Service Standard Complaints experience, Excellent r Professional telephone Demeanor, Report Preparation Skills, Administrative Support s
• Sales (10+ years)
• English
• Telemarketing
• Customer service (10+ years)
• Computer networking
• Windows
• TCP/IP
• LAN
• Active Directory
• WAN
• Operating Systems
• Remote Access Software (10+ years)
• Help Desk
• Technical Support
• Microsoft Windows Server
• Network Support
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