LATISSUE MURDEN

Professional Summary

Claims Adjuster Specialist seeking position where proven skills and expertise, problem solving skills will ensure in

assisting and providing accurate correct information entering data promptly and in a timely matter. Providing and

assisting with coding claims accurately and paying claims according to the guidelines the customer or client

concerning inquiries within a certain time based on protocal.

Core Qualifications

Claims processing, Cold Calling, Computer

Literate, Computer Proficient, Creative Problem

Solving, Systems, Customer Needs Assessment,

Customer Needs Assessment, Customer

Satisfaction, Domestic and I Control, Internal

Auditing, Internal Auditing, Lead Development, Lead

, Multi-Task Management, Claims Adjustment

Processing, Diamond and Xcelys

Experience

Customer Service Representative III

December 2000 to June 2007

Blue Cross Blue Shield - Dallas, TX

Receive and respond to telephone inquiries from beneficiaries, physicians, supplier, SSA, and other insurance

carrier.

Responsible including processing and adjusting new Medicare claims, data entry, receive and responding to all

customer.

written and telephone inquiries.

Ensure all responses are accurate, timely, and address major issues of the customer in call center setting.

Systems I'm familiar with fax, copier, scan email and instant messenger.

Telephone Specialist

January 2008 to May 2008

AARP - Carrollton, TX

Use customer service skills to effectively attend to new and renew memberships.

Identify needs and provide prompt resolution to inquiries and problems.

Develop strong rapport with caller early in the contact and.

capture data and enter clearly and accurately.

Systems I'm familiar with fax, copier, scan email and instant messenger.

Customer Service Rep

June 2008 to November 2009

AETNA - Arlington, TX

Verified Health benefits, reprocessed claims, updated and changed demographics, helped with Appeal and

Fraud information and Email updates.

Systems I'm familiar with fax, copier, scan email and instant messenger.

Customer Service Representative

December 2009 to February 2011

DELL PEROT

Interacts with customers through telephone, e-mail and personal contact in response to inquiries.

Provides information pertaining to customer requests.

Applies knowledge of systems and operations in support of assigned customer group.

Resolves customer questions, complaints and requests, frequently involving some policy interpretation,

processed claims over 100 daily incorporated with vertex information input.

Systems I'm familiar with fax, copier, scan email and instant messenger.

Customer Service Representative

January 2011 to April 2011

Ultimate Staffing - Dallas, Texas

Taking 30-90 Inbound Calls assisting with different forms of filing taxes via email, fax

And assisting with registering information to out tax website. Systems

include

Sharepoint and Pars

Tax Service

Claims Adjuster

April 2011 to November 2013

Dell Perot - Dallas, Texas

Processing and Adjusting health insurance claims processing over 45 claims daily for Kaiser . Assisting client and

customers with researching and resolving issues. Manually pricing and utilizing matrix and other various systems.

Entering vertexed information

Interacts with customers through telephone, email and personal contact in response to inquiries. Provides information

pertaining to customer requests. Applies knowledge of systems and operations in support of assigned customer group.

Resolves customer questions, complaints and requests, frequently involving some policy interpretation, also

processing over 100 claims daily incorporating vertexed information.

Systems used, Macess,Diamond,NGD,Thola, I-View, Regulus, Citrix,Cep, Sharepoint, Knowledge Base, Copier, Fax,

Scan, Email and IM.

Intermedix

April 2014 to Present

Interacts with customers through telephone,taking over 100 calls daily .

Provides information pertaining to customer requests.

Applies knowledge of systems and operations in support of assigned customer group.

Resolves customer questions, complaints and requests, frequently involving some policy interpretation,

Under the direction of the Columbus Call Center Manager, oversees the day-to-day operation of a customer service team including assisting in the planning, organizing, directing, coordinating and controlling any and all activities and resources which directly or indirectly impact the timely and accurate processing of account inquiry contacts.

Education

High School TX Basic Requirements Bill J Priest : English, May 1986

Midland High - Midland, Texas, USA

Introduction to Computers : September 1999

Dallas, TX

Contact this candidate