Customer Service Third Party
Resume:
Edythe Kimberly Plump
*******@*****.***
OBJECTIVE
Aspiring to obtain a position to utilize my excellent customer service, communication and administrative experience in an environment that is high energy and that matches my positive attitude.
Subrogation Analyst-Legal
Blue Cross and Blue Shield of AL - Birmingham, AL
January 2013 to February 2022
Worked with a team of analysts to ensure that complex Medical, Medicare, Third-Party Liability, Worker’s Compensation and other healthcare claims are adjudicated. In the role the cases were reviewed for potential recovery. All cases and claims were initiated and processed accurately and upheld all federal and state guidelines. Responsible for independently judging the viability and projected yield of claims while negotiating subrogation settlements. Knowledgeable and compliant with HIPAA guidelines while maintaining the integrity of our clients personal health information. Demonstrated accuracy and speed in claims processing to ensure that all timelines goals were met. Acted with integrity and respect while handling sensitive and the personal information of our customers. Proficient with Microsoft apply, Excel, PowerPoint and Adobe. Mentored new hires through the fluency phase as a Claims Coordinator to assist with production and accuracy measurements.
Claims Service Specialist
Allstate - Birmingham, AL
December 2010 to December 2012
Established all claims for property damages for Allstate customers. Initiated multiple claims for policies, discussed sensitive information with customers, while ensuring proper handling of claims. Provided excellent customer service while assisting customers through extremely difficult circumstances.
Assistant Manager
Chick-Fil-A - Birmingham, AL
September 2009 to December 2010
Worked as a manger of 15 to ensure all customer and employee needs are met. Worked efficiently on
computer using all Microsoft applications to perform daily duties, such as, creating and printing daily
reports for financials. Secured important catering accounts by ensuring orders were properly scheduled, executed in timely manner, and exceeded quality measurements.
Generated daily sales reports and created productivity plans to ensure goals are met.
Data Processor/Encoder
Venturi Staffing - Birmingham, AL
February 2008 to January 2009
Worked well with team to meet nightly and weekly deadlines. Processed various financial transactions
using 10 key. Performed duties at fast-pace while maintaining a professional tone.
Flight Attendant
Omni Air International-Atlanta, GA
November 2005 to February 2008
Assisted passengers with any in-flight or special pre-/post- flight needs. Worked with military officials to ensure safe transport for military soldiers and family members on chartered flights. Complied with all FAA Regulations and current with all updates. Familiar with all International travel regulations and passport requirements. Received federal security clearance to work DOT and military contracts. Worked with schedulers to ensure safety and ease while traveling abroad.
Education
Business Administration
American InterContinental University - Atlanta, GA
2004 to 2006
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