Post Job Free

Resume

Sign in

Claims Specialist Benefits Advisor

Location:
Florida
Salary:
32510
Posted:
December 15, 2022

Contact this candidate

Resume:

*:** ns os

Done *of * Q

THALIA MAXWELL

813-***-**** e adt2v8@r.postjobfree.com

Human Resource Generalist with 10+ years of progressive developmental experience in the areas of Business

Administration, with emphasis on Human Services, Quality Performance and Improvement. Seeking to grown within

Proficient in working with MS Word, Excel, PowerPoint, PeopleSoft, Outlook, and Access and possessing working

knowledge of an assortment of HIPPA protected databases.

e@ Communication e Networking e Motivation e Team- Player

e Diversity & Inclusion e Motivation e Mentoring e Leadership

WORK EXPERIENCE

Patient Resource Specialist 2019 - 2022

Tampa Family Health Centers

e Educate patients about payment options and eligibility of financial assistance to negotiate payment

arrangements.

e Updated patient accounts and balances and collect income information.

e Review and process insurance forms for patients. Communicated with pharmacy companies and

insurance companies to ensure patients’ prescribed medications are covered by the requested financial

assistance resources.

Case Manager 2018 - 2019

Tampa Family Health Centers

providing and coordinating screening and intervention for patients with chronic and complex care

needs.

e Worked collaboratively, as part of the care team to implement evidence- based series, protocols,

and methods for primary patient - direct barriers.

e Implement evidence- based series, protocols, and methods for primary care patients.

e Conducted telephonic, In-hospital, or in-person health assessments to identify chronic and complex care

needs with patient and family or caregivers.

Short Term Claims Specialist 2017 to 2017

MetLife Insurance

¢ Conducted in-depth fact-finding clinical investigations; including the verification of medical history,

and medical, mental, functional needs to

e Provide appropriate services to clients requiring short-term disability assistance.

¢ Corroborated with health providers, to obtain detailed information regarding each individual specific

need. Monitors updates and changes in claimant's function and fitness to return to work.

Benefits Advisor 2014 to 2016

Coca-Cola Enterprises, Inc.

¢ Created and maintained exceptional relationships with clients, providing year-round support and

guidance.

e Created and maintained exceptional relationships with clients, providing year-round support and

guidance.

¢ Monitors updates and changes on new policies and laws to offer help, explanations, and new

information to plan members.

Orientates administrative staff and their employees; explain enrollments, renewals, and changes to

accounts.

EDUCATION: Tampa College, Tampa, FL - B.A. in Business Administration, Tampa, FL

Hillsborough Community College, Tampa, FL



Contact this candidate