Claims Analyst Customer Service

Dawn M. Morgan

*** ****** ** ********, **** ***** 937-***-****

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

Qualifications

·Highly skilled in customer service and billing collections. .

·Work well under pressure in a multitude of environments – including team environment as well as on an individual basis.

·Strong communication, multi-tasking, and people skills.

·Very dependable with a great work ethic.

Work Experience

Care Source – Dayton, Ohio

Claims Analyst: October 2017 – January 2020

Claims Adjudicator II – January 2020 to Current

Review and accurately process medical, dental and facility claims for Medicaid and Marketplace lines of business.

Adjudicate standard COB (Coordination of Benefit) claims

Ensure proper benefits are applied using appropriate operating procedures and processes

Meet production and quality standards for claim processing and payment

Process and respond to special claim adjudication projects as assigned

Perform any other job related instructions, as requested.

TRAFFIC COORDINATOR – HART & COOLEY

JANRUARY 2015 TO OCTOBER 2017

Managing outbound shipments. Print orders. Scheduling pick-up times for the various LTL carriers as well as Truck Loads. General office duties. Monitor daily activities regarding all out bound orders to make sure they are complete and on time. Bill all out going freight and orders.

CREDIT ADJUSTER – UNIVERSAL ONE CREDIT UNION

FEBRUARY 2031 TO DECEMBER 2014

Receive Delinquent Accounts List (10-49 Days delinquent) on a daily basis. Make contact with members through telephone, letters and emails correspondence. Work to research and resolve disputes and delinquencies. Confer with manager on hard to handle collection issues or special handling of accounts. Comfortable averaging 80-100 telephone calls per day.

COLLECTOR – MONTGOMEREY COUNTY CREDIT UNION

OCTOBER 2005 TO FEBRUARY 2013

Held various positions including Collector, Teller and Receptionist. Collected delinquent car loans, signature loans and Mastercard credit cards. Opened and closed new credit accounts, banking accounts. Problem solved to correct disputes and balances.

Education

Northridge High School, Dayton, Ohio

High school diploma, General Studies

References Upon Request

Contact this candidate