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Administrative Assistant Insurance Specialist

Location:
Raleigh, NC
Salary:
16
Posted:
June 20, 2023

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Resume:

DOMINIQUE

YOUNG

EDUCATION

University of Phoenix

**/****

Bachelor of Science: Correctional Program Support Services GPA: 3.0

WORK EXPERIENCE

Sitel Group Insurance Claims Specialists

**/**** – 03/2023

Documented all claims and identified evidence to support contested claims to share with adjuster as needed.

Refer questionable claims directly to investigator or claim adjuster for investigation or settlement.

Inquired about specific details of the incident to best help the customer understand their policies and coverage.

After the claim has been processed, provide the customer with adjuster contact information to start the investigation and assessment of property damage to provide estimates.

Worked closely with customers, other agencies, law firms, and body shops to ensure proper departmental alignment. RemX Specialty Staffing Insurance Specialist

10/2021 – 01/2022

Documented all call interactions in case notes for the Case Managers & Nurse Navigators.

Performed outbound calls to payers to identify patient’s benefits.

Contacted patients as needed for consent with payers to capture the appropriate benefits information to share with the Case Managers.

Documented each 3rd party call and set required follow-up for the Case Manager to contact the Medical Doctors Office

(MDO).

Assisted patients and Healthcare provider submit the required documentation to payer to determine prior authorization approval or denial.

Captured benefits from payer and requested test claims to see if medication was approved/denied and the estimated copay responsibility of the patient.

PROFILE

Highly motivated and always

eager to find ways to support

someone. I am very

customer/client/people driven

and ready to support when/where

I can. I have a well verse

background in assisting people of

all ages. I enjoy team building

exercises and providing feedback

that can potentially help improve

processes. I am very dependable

and show dedication to my place

of employment. Going above and

beyond becomes an

understatement if my work ethics

allows me the opportunity to

showcase that and more.

CONTACT

PHONE:

1-347-***-****

WEBSITE:

http://linkedin.com/in/dominique-

young-017538238

EMAIL:

adxtsj@r.postjobfree.com

Brown’s Moving & Storage Administrative Assistant 03/2021 – 10/2021

Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.

Use computers for various applications, such as database management or word processing.

Create, maintain, and enter information into databases.

Schedule and confirm appointments for customers for pre- move assessments.

Setup and manage paper/electronic filing systems. Recorded information, updating paperwork, or maintaining documents

{ie: attendance records, correspondence, or other materials.

Make copies of correspondence or other printed materials.

Open, read, route, and distribute incoming mail or other materials.

Operate office equipment, such as copiers, phone systems and arrange for repairs as needed.

New York Foundling – TFCO Foster Parent Recruiter /Trainer /PDR Caller

08/2013 – 03/2021

Provided PDR {Parent Daily Report} to supervisors and team members which reference youth behaviors, engagements, and foster family concerns.

Recruit and train foster parents and facilitate certifications upon completion of the training.

Work closely with the program supervisor to identify any recruitment needs.

Worked closely and co-facilitated weekly foster parent clinical meetings.

Submitted foster parent and youth information in the internal databases {Connections / Evolv}.

Performed monthly home visits with the foster parents. New York Foundling – Blue Sky Program Skills Trainer 09/2012 – 08/2013

Provided guidance and support to youth involved in the Juvenile Justice Initiative.

Worked closely with families to avoid detainment but rather home stay.

Worked closely with children on developmental skills, set goals for them as well as encouraged them to set their own while incorporating role play, teaching, and debriefing (ie: behavior management, communication, coping, problem solving, and study skills}.

Documented each skills training session in QuickBase.

Immediately reported emergencies to supervisors {ie: runaways, accidents, or medical problems}.

V.I.P. Home Health Services Home Health Aid

06/2007 – 10/2010

Worked with patients diagnosed with Diabetes, in Hospice, and suffered from strokes.

Provided patients with mobility assistance and positioning {ie: transportation to/from appointments}.

Assisted patients with bathing, dressing, daily hygiene, and grooming.

Always prioritized and ensured patients safety and well-being.

Supervised patients with Dementia and Alzheimer’s to provide behavioral/emotional support.

Maintained private and confidential patients’ information.

Engaged patients with games, crafts, cooking, music, reading, and other activities.

SKILLS

Proficient in Microsoft Office {Word, Excel, Outlook, PowerPoint}

Excellent communication skills

Deadline oriented.

Dependable and Supportive

Event Planner / Organizer

Exceptional Bookkeeping Abilities

CERTIFICATIONS

Multidimensional Treatment Foster Care (MTFC)

Treatment Foster Care Oregon (TFCO)

Model Approach to Partnerships in Parenting (MiniMAPP)

Home Health Aid Cerified (HHA)

Universal Precaution, Mental Illness, and Infection Certification



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