PHOEBE ALEXANDER

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Street Milwaukee WI 53225 (C) 414-***-**** ady1h7@r.postjobfree.com PROFILE SUMMARY

Motivated, personal business professional and dedicated Claims Services Specialist inspired to maintain customer satisfaction and contribute to company success. Insurance/Mortgage professional with more than 18 years of investigating, processing and auditing claims. Proven ability to establish rapport with clients and exceed customer satisfaction company goals. Reliable and driven, with strong time management prioritization abilities. Demonstrated history of producing accurate, timely reports and meeting stringent guidelines of productivity. Recognized for excellent team building skills.

SKILLS AND ACCOMPLISHMENTS

EXPERIENCE

07/2015-Current Columbia St. Mary’s – Milwaukee WI Insurance Verifications Specialist

Customer service to 66 clinics and patients

Verifying accurate insurance

Medicaid/Medicare/Commercial Insurance

Accuracy of appropriate billing for medical claims

Compliance of Insurance ethics

Verifications of all Insurance via provider web portals 12/2007to 01/2015 Mortgage Guaranty Insurance Company – Milwaukee WI Claims Services Specialist II

Make requested policy changes and updates to the claim

Audit claims submitted via the internet link per SOX compliance

Daily processed, reviewed claims submitted from servicers

Added additional initial and supplemental expenses to claims pending and denied claims

Prepared batch reports for daily claims received and processed

Assigned and distributed daily work logs to team members

Processed claim conversions of old policies to current

Resolve claim issues failing the auto processing system

Answer customer telephone calls regarding existing claims

Recognized for outstanding participation in exemplifying the

“Take The Lead” principles by management

09/2006 to 12/2007 Greater Holy Temple Christian Academy – Milwaukee WI Para-Professional Ed. Assistant/Office Assistant

Worked with individual students or small groups to reinforce learning of material

Assisted the certified staff in devising special strategies for reinforcing learning

Monitored work, corrected papers, supervised curriculum-based testing

School Office assistant (on-call)

06/1985-08/2005 Fortis Inc,/John Hancock Insurance (currently Assurant Health) – Milwaukee WI

Pre-Existing Claims Specialist (2004-2005)

Extensively reviewed medical applications and medical records of applicants for insurability

Verified proper information was submitted for coverage Policyholder Services Representative/Customer Service (2000-2004)

Processing benefit changes

Collection and application of premium for policies

On hand resolutions of insured’s through customer service

Recognized for initializing and organizing duties to eliminate backlog

Underwriting Support Representative (1998-2000)

Initial setup of long term care policy applications

Verified information appropriately submitted for UW processes

Wrote documentation for Long Term Care Policies adhering to compliance

Data Integrity Assistant (1985-1998)

Responsible for auditing and coding medical bills for claims

Medical and Dental procedure coding of claims

Certificates obtained in medical and dental terminology Education University of Wisconsin-Milwaukee- Business and Social work classes (3 years) Cardinal Stritch University - Glendale WI

Bachelor of Science - Business Administration– Overall GPA 3.300 Computer Skills

Microsoft Word, Excel, PowerPoint

References Upon Request

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