Claims Associate Darlington

Amber Dickerson

**** ********** **

Florence, SC 29501

843-***-**** ************@**.**.***

Objective

To research and solve problems in order to help others in an efficient way.

Qualifications

I have significant experience in working with a wide variety of customers. I have proven myself helping people in the insurance tracking business at TRICARE (BCBSSC), and most recently owning my own landscaping company where I managed others. Whenever I help a customer, I first discover, analytically, what the problem is and do my best to correct it. This often involves managing multiple tasks under pressure. When speaking on the telephone with customers, I make sure they hear the smile in my voice, understanding, and care. I convey that I will do anything I can to rectify their situation. I am understanding and flexible with any policy as well as any assignment changes that may arise. I like to think there are no big problems, just small inconveniences. I have strong abilities to educate potential clients in a friendly manner on the value of a company's services and am great at persuading clients to purchase products or to obtain new services. I have a long history of a strong work ethic and enjoy thinking creatively. I also have 8 years of retail and sales experience.

Education

Hartsville High School Diploma 1991

Florence Darlington Technical College 1992-1994

Employment

2004-present Co-Owner and manager D & D Landscaping Business

I currently manage a family owned landscaping business. I plan, organize, and direct customer service. I strive for developing new business and manage four employees. There is always scheduling and project management that has to be done in a timely manner. I am great with handling difficult issues. I thrive on building customer trust and enjoy the financial responsibility of being a small entrepreneur.

1996-2006 TRICARE/BCBSSC

I started working at Blue Cross Blue Shield as a Claims Associate III as part of a 30 person team. The job demanded punctuality and self discipline. I processed hospital claims, doctor's office's claims. I received inbound phone calls from patients and hospital staff concerning the status of claims, sometime up to 49 different claims during one phone call. I took 75-130 inbound calls during the typical day from both providers and beneficiaries, explained explanation of benefits and health insurance benefits. I often made outbound calls to providers and beneficiaries also. I reprocessed claims and adjusted claims. I did lengthy research to resolve the problems, sometimes sending letters and faxes.

References are available on request.

Contact this candidate