Center Service Claims Processor
Resume:
PROFESSIONAL EXPERIENCE
Adaptable professional with 15 years of work experience and proven
knowledge of leadership, problem solving & workflow prioritization. Also have the ability to work with a team or alone using my own initiative. Jennifer Matukaitis
81 N Pioneer Ave
Shavertown, PA 18708
*******************@*****.***
EXPERIENCE
Loomis CO, Wyomissing PA — Claims Adjuster
May, 2021- December, 2022
● Reviewed insurance policy coverage, determining validity of patient requests for claims.
● Paid and processed claims within designated authority level.
● Examined claims forms and other records to determine insurance coverage.
BroadPath, Tuscon AZ— Supervisor
November 2015-May 2020
● Allocating daily jobs and workloads.
● Training new team members. Acting as a resource for other staff members.
● Managing team performance and progress.
● Enforcing all company approved policies and procedures.
● Taking action to correct and staff shortcomings.
● Managing and monitoring staff attendance.
● Giving prompt and accurate information on individual staff member performance.
● Attending and participating in team meetings.
● Analyzed statistics and other data to determine the level of customer service performance achieved by the team and provided them the resources needed to reach their goals.
● Recorded employee attendance, personal and vacation time and reported all leaves of absence to the benefits department on a monthly basis. Managed call volumes and maintaining Service Level Agreements by making sure all reps were available and ready to take calls.
● Coordinated bi-weekly conference calls with program managers to discuss and identify possible trends that may impact call center service levels.
● Worked proactively with management team and maintained awareness of upcoming events.
● Completed voluntary customer service supervisor training to identify and understand different personalities within a team of representatives.
SKILLS
Highly Motivated
Advanced Computer Skills
Insurance Policy Coverage
knowledge
Types 75 WPM
Proficient in MS Office
Skilled Multi-Tasker
Advanced Oral and Written
Communication
Genpact, Wilkes-Barre PA — Business Analyst
February 2015-October 2015
● Answer incoming calls from patients regarding past due bills, also make Outbound calls and set up payment plans for patients. TMG Health, Jessup PA- Claims Processor
August, 2014 to January, 2015
● Verified that information in the computer system was up-to-date and accurate.
● Reviewed insurance policy coverage, determining validity of patient requests for claims.
● Paid and processed claims within designated authority level References available upon request.
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