Data Entry Customer Service

G. Waters Page *

Garah Waters

Converse, TX ***** 210-***-**** ***********@*****.***

COLLABORATION • CUSTOMER SERVICE • INNOVATION

Detail-oriented professional offering 10+ years of experience in customer service, project management, and team collaboration. Healthcare Administration student accompanied with a history of efficiently adjudicating medical and auto claims. Demonstrated ability to execute department improvement strategies including implementing innovative processes and marketing tasks. Track record of increasing website traffic an average of 23% by developing marketing strategies that improved search engine performance. CORE COMPETENCIES

Microsoft Office • Claims Adjusting • Compliance • Customer Service • Insurance • Marketing • Verbal & Written Communication • Project Management • Website Optimization PROFESSIONAL EXPERIENCE & IMPACT

Licensed Total Loss Claims Adjuster June 2022 – Present State Farm Mutual Automobile Insurance Company Remote

• Examine claims data, review facts of loss, verify coverage, evaluate settlement value, and adjust total loss claims within limit of authority.

• Analyze claim forms, policies and endorsements, client instructions and other records to determine whether the loss falls within the policy coverage.

• Document electronic claims files with accurate, clear, and timely information; Administer reports that reflect adjustment activities and substantiate any payments made.

• Utilize estimating software to establish indemnity values of claimed damages including CCC One; Identify exposures and determine validity of supplemental estimate requests.

• Manage total loss settlement processes and rental expenses by working closely with appraisers, rental facilities, body shops, and salvage vendors.

• Communicate effectively and professionally with insureds, claimants, attorneys, and other customers in the investigation and settlement of claims. SEO Consultant April 2021 – June 2022

DealerOn, Inc. Remote

• Increased website traffic an average of 23% by developing and implementing interactive marketing strategies that improved search engine performance.

• Facilitated social media channels and tracked performance including followers, views, and engagement; Collaborated with the sales department to curate digestible content.

• Performed keyword research for site optimization, search display ads, and competitive bidding; Executed innovative content improvement plans.

• Analyzed key industry trends; Ensured consistent and cohesive brand voice, language, messaging, and image across multiple channels.

Service Coordinator July 2019 – April 2021

Centene Corporation San Antonio, TX

• Spearheaded clerical duties including scheduling, authorization processing, and record keeping as well as ensured proper referrals were in place at the time of check-in. G. Waters Page 2

• Facilitated the flow of documents between patients and providers by communicating with healthcare team members regarding the completion of care coordination activities.

• Completed data entry, obtained signatures for financial documents, and verified appointment times with patients.

• Interviewed patients to obtain demographic and insurance information for medical record identification and bill processing.

HEDIS Specialist August 2018 – July 2019

TotalMed San Antonio, TX

• Collaborated with providers for the collection of medical records, data management, research, data entry, quality control on report analysis.

• Abstracted over 70 records per day, ensuring 100% accuracy rate; Audited abstraction criteria to determine compliance to HEDIS specifications.

• Maximized administrative and coordination support to project managers; Corresponded with multiple departments regarding work requests.

• Teamed with the manager to maintain the department SharePoint site, medical records, blogs, newsletters, and other program materials deemed as necessary. Senior Claims Appeals Coordinator-Team Lead January 2014 – August 2018 UnitedHealth Group San Antonio, TX

• Researched, evaluated, and adjudicated over 35 appeals daily; Managed claims projects and served as a point of contact for appeal inquiries.

• Performed up to 40 case audits weekly and monitored case inventory distribution; Partnered with managers and teammates to understand how claims were processed.

• Coordinated with hospitals and medical facilities to obtain medical records, claim denials, explanations of benefits, and all other documents needed for each case.

• Mentored and coached newly hired appeals coordinators, specialists, and representatives. EDUCATION & LICENSES

All-Lines Claims Adjuster License Expiration Date: November 2024 Texas Department of Insurance

Bachelor of Science, Healthcare Administration Expected Graduation: May 2023 University of Pheonix San Antonio, Tx

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