Claims Adjuster

Chaundra Steele

**** ***** ** #*, ******, GA ****6

adt3em@r.postjobfree.com

PROFESSIONAL SUMMARY:

Highly professional Claims Associate with over 15 years of experience working in Property & Casualty for both insurance companies and third-party administrators. Expertise in evaluating, investigating and negotiating automobile, property damage and injury claims in multi-jurisdictions.

EXPERIENCE:

State Farm Insurance - Johns Creek, Georgia March 2019 - Present

Claims Associate

Within approved limits or authority, explains terms of policy, applies claims settlement procedures to handle claims, initiates claim payment process, and closes file

Explains automotive repair methods and parts, reviewing written or computerized estimates

Arranging rental car and towing services, understanding medical and anatomical terminology, within approved limits

Kaiser Permanente - Atlanta, Georgia July 2018 - March 2019

Provider Data Entry

Coordinated credentialing data needed for enrollment, contracting, and other related purposes

Responsible for uploading (as a part of a team) over 2,000 new physicians into the provider system.

Maintained Providers confidence and protected operations by keeping information confidential.

DXC Technology - Tucker, Georgia October 2016 - July 2018

Provider Enrollment Specialist

Responsible but not limited to reviewing and enrolling outside agencies including physicians’ offices, hospitals and/or health insurance organizations in accordance with state Medicaid policy.

Consistent high productivity levels with a focus on maintaining high levels of accuracy and quality.

Routinely collaborated with internal and external departments to ensure all processing protocol and provider enrollment models were aligned with the organization’s mission to meet Service Level Agreement requirements

Community Health Care of Georgia – Morrow, GA August 2015 – October 2016

Medical Records Specialist

Retrieved, sorted and assembled medical records into proper chart order, to ensure

records were updated and the required forms and documents were provided

and pages were signed and dated according to facility standard

Reviewed and audited medical records for accuracy and completeness; evaluated

medical codes for correctness; ensured security and confidentiality of medical records

Processed requests for patient information by classifying accordingly (i.e. Physician

Office, Managed care, Auditing, Re-credentialing, release) Provided administrative support for

clinical staff as needed.

Evaluated needs and severity of phone calls from patients and assessed appropriate disposition of call. Called in prescription refills for physician/psychiatrist

EDUCATION: Quincy Senior High School, Quincy, IL - Diploma June 1990

John Wood Community College, Quincy, IL

LICENSE: Florida, Georgia, North Carolina, Oklahoma, South Carolina, WY

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