Tonya Lockett
Customer Service Representative
Harrisburg, PA 17110
adubw0@r.postjobfree.com
Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Customer Service Representative
United Concordia Inc
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Harrisburg, PA
June 2014 to May 2017
Responsibilities
Provide dental customer service to our internal customers and providers and the subscriber. My duty is to educate the subscriber of their benefits and to make the Accomplishments
Knowing that I was able to assist the customers with the dental claims. Skills Used
Strong customer skills.
Provider Service Representative
Novitas Solutions, Inc
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Mechanicsburg, PA
June 2013 to June 2014
Responsibilities
Maintain the overall integrity of the provider of the Gov to get them enrolled with Medicare and Medicaid
programs. Research additional programs for the provider. Accomplishments
Making the provider feel good about the service they received Skills Used
I used the on job training for customer and math for the money they spent out with Medicare DST ADVANCE GOVERNMENT MEDICAL CLAIMS EXAMINER
DST HEALTH SOLUTIONS
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Harrisburg, PA
September 2011 to June 2013
•Processed and readjusted claims to be refunded to provider.
•Coordinated benefits between two or more insurance companies.
• Verify Subrogation claim, Work comp claims to determine primacy and fault.
•Provided excellent internal and external customer service by verifying Medicare, subrogation and DPW claims.
•Examined forms and other records to determine insurance coverage Liability Examiner
Capital BlueCross
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Harrisburg, PA
October 1989 to April 2011
•Processed and readjusted claims to be refunded to provider.
•Coordinated benefits between two or more insurance companies.
•Provided excellent internal and external customer service by verifying Medicare, subrogation and DPW claims.
•Examined forms and other records to determine insurance coverage.
•Collect evidence to support contested claims in court.
•Communicate with associates to verify employment record and to obtain background information. regarding persons or businesses applying
Sr. Data Entry Operator
The Computer Company
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Harrisburg, PA
September 1980 to October 1989
•Entered Department of Welfare claims into the system and audited other examiners work to ensure accuracy.
•Analyzed information gathered by investigation and submitted written report to supervisor.
•Monitored department workflow and issued batch work according to date received.
•Compared data with source documents to detect errors. Education
GED
OIC Learning Center
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Harrisburg, PA
August 1979 to November 1979
high school diploma in education
Harrisburg High School
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Harrisburg, PA
September 1977 to June 1979
Certifications/Licenses
CPR/AED
October 2020
Additional Information
Customer Service OR Medical Claims Processing 05/10/2017 I'm sending this letter in hopes of gaining employment as a Customer Service Representative or anything that meets my expertise. I worked as a Medical Claims examiner for 22 plus years and I can offer my expertise to any company as well as allowing me to utilize my people skills, while assisting companies to promote sales. My strongest suits are in my ability to work well with people. I enjoy any opportunity to assist others any time the opportunity presents itself, and to go above and beyond so help external and internal customers as well.
I look forward to hearing from you in the near future.