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Claims Associate Data Entry

Location:
Mesa, AZ
Salary:
$19
Posted:
November 22, 2022

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Resume:

Kendra I. Hinton

Mesa, AZ *****

480-***-****

*************@*****.***

Who I am, what I want & what I want to do for you

I'm a 50 WPM/17K Keystrokes (alpha-numeric) typist with great attention to detail and accuracy. I am a Utility Customer Service and Ulysses Telephone Empathy training graduate. I strive for first call resolution with my critical thinking, a “I can do this..” attitude and the ability to gratify customers by building rapport, and the dedication to correcting inaccuracies. I'm an innovator, fast learner, feedback enthusiast and motivated to exceed expectations while applying company policy and procedures. I want to aid you to increase revenue and decrease work waste, to help retain and magnify clientele. My work ethics, morale boosting and diverse background conclude that I'm an invaluable asset.

Where I’ve been

Chubb Insurance via Kforce 01/2022-09/2022 (Temporary assignment)

●Created a method for processing subrogation claims

●Reviewed and processed subrogation files

●Made outbound calls, sent emails and letters via regular mail to inquiring status of restitution payments

●Created calendar tasks for follow up, tasks to internal departments requesting assistance.

●Created tasks to research payments

●Escalated files beyond my job scope, required review for next appropriate action

●Cleared backlog tasks associated with subrogation files

●Created contact lists for most frequently used Recovery counsel, DOC facilities, Insureds, etc.

Progressive Residential via Collabera 08/2021-10/2021 (Temporary assignment)

●Received inbound calls for work order requests, follow up/status inquiries, complaints, concerns

●Filed complaints for residents experiencing unresolved maintenance issues or HOA violations

●Created case files to escalate unresolved/ongoing issues to appropriate department level

●Accessed Yardi database to provide lease details and update customer contact information

●Reviewed technician schedules for availability and scheduled work orders accordingly

●Made after hour work orders via CarMax and internal Salesforce

●Communicated with Service coordinators, Managers, Assistant Property operation directors and leadership for coordinating emergency work orders

●Assisted residents with navigating the website to create/set up online account, make payments and create work orders

●Daily troubleshooting for system issues

Modivcare via Robert Half (August 2021 Hiring blitz/Seasonal position)

●Received inbound calls to set up, modify and/or cancel medical ride requests

●Made outbound calls to transportation providers for status updates and estimated times of arrivals.

●Outbound calls to medical providers to confirm urgency of appointment for same day ride requests

McKesson via RemX Temporary Agency 11/2018- 01/2019 (Hiring Blitz)

●Made outbound calls to customer insurance companies to verify benefits for drugs prescribed by their physicians.

●Reviewed customer files for prescriptions and physicians notes

●Reviewed and confirmed patients authorization forms to contact their insurance plans.

●Submitted verified accounts to upper management for review of accuracy

●Submitted accounts that were unable to process back to physicians for corrections

Carecentrix Customer Solutions Expert 12/2017-07/2018

●Received inbound calls for status checks, authorization entry for medical equipment and or home health services prescribed by physicians

●Made outbound inquiry and status calls to doctor’s offices, healthcare facilities, home health agencies and Durable Medical Equipment providers

●Entered authorization requests received via fax/email

●Managed personal voicemail callbacks

●Researched and corrected authorizations inputted incorrectly

●Confirmed medical benefits

●Searched for in-network providers

●Escalated calls appropriately as well as elevated/transferred calls received in error

●Followed desk level procedures and job aids which ensured authorizations were processed timely and correctly

●Utilized tools for date of service dates and escalated call inquiries

Novitex Enterprise Solutions 05/2016-07/2017

● Sorted incoming USPS mail, interoffice mail and packages received via commercial shipping

●Metered account holders incoming mail and mail received via driver routes,

●Enforced safety procedure guidelines

●Entered account receivables certified letters/packages

●Lifted and delivered shipments, files and mailing supplies as needed

●Maintained the highest levels of customer care

●Demonstrated flexibility during high volume periods

●Maintained and documented incoming/outgoing shipping and receiving reports

●Participated in cross-training new employees

●Handled time-sensitive material

●Provided backfill when needed

●Entered information daily into spreadsheets

●Identified unauthorized charges and investigated for resolutions

●Developed effective shipping processes for out of county mail

State Farm Insurance Express Claims Associate 04/2014-09/2015

●Received and reviewed claim information

●Applied claim handling procedures, processed claims, initiated payments, and closed claim files

●Communicated with customers and associates via escalated line and instant messaging

State Farm Insurance ILR Claims Associate 04/2012-05/2014

●Communicated with customers and associates by phone, mobile app, click-to-chat and Internet reporting. and documented loss information for claim filing

●Handled a large volume of calls in a collaborative team setting

Wal-Mart Inventory Control Specialist 08/2011-11/2012

●Unloaded merchandise from delivery trucks and placed stock in the appropriate location.

●Maintained accurate inventory controls, categorized merchandise in bins by department, labeled overstock merchandise, scanned merchandise daily

●Adjusted inventory levels in the perpetual inventory system

●Utilized handheld scanner to identify items needed on the sales floor, retrieved merchandise from inventory bins, occasionally utilized ladders, floor and powered pallet jack

●Maintained and enforced safety standards by ensuring safe & clean work environment

Allied Forces Employment Services Superior Pools (Temporary)

●Received and verified invoices and recorded checks

●Verified transactions comply with financial policies and procedures.

●Prepared batches of invoices, cash, check and credit/debits receipts for data entry.

●Processed backup reports.

●Maintained vendor files and files numbers.

●Greeted customers, processed cash, credit and account payments.

●Distributed mail

●Printed and distributed daily financial reports.

Sears Fraud Prevention Representative 09/2010-01/2011 (Seasonal)

●Received inbound calls from customers, the web center and internal business units.

● Made outbound calls to customers, their financial institutes and SEARS and affiliate stores to verify customer purchases.

●Carried out fraud countermeasures

●Referred & Elevated orders that required additional investigation

●Identified, reported fraud methods of operation and trends.

●Responded to information requests from the retail organization or web center.

APS via Spherion Staffing Customer Care Associate 08/2009-05/2010

●Start/stopped or transferred services

●Resolved customers' service or billing complaints

●Diagnosed high energy bills

●Elevated unresolved customer grievances

●Solicited sales for new or additional services or products

●Dispatched repair work orders accordingly



Contact this candidate