K. Lyons
Southfield, MI *****
**********@*****.***
Work Experience
HC & Insurance OPS Senior Rep
NTT DATA - Southfield, MI
December 2021 to Present
Support insurance company client by processing insurance transactions. Add, delete, modify, test data in systems based on client requests. - Ensures accurate and timely completion of transactions to meet or exceed client Service Level Agreements. Reviewing medical bills and navigating multiple medical bill pricing apps. Reprice and process medical bills. Processing 80-100 claims a day Frontline Admin
Harvard Solutions - Troy, MI
June 2019 to November 2021
• Proctor Financial: managed insurance calm funds. Requested required documents for home owners before dispersing the funds. Follow up with home owners about missing documents.
• Corvel: Customers Service Representative for medical billing. Took 60 to 80 calls a day. Provided callers with address fax number and how to send in medical billing. Give explanation as to why bills were not paid and give steps on appeal process
Claims Processor
Allstate Insurance - Farmington Hills, MI
March 2015 to November 2018
• Assisting customers with their total loss auto claims to get them back on the road
• Working with banks/lien holders to obtain financial documentation to pay auto claims
• Perform clerical duties including: data entry, filing documents, colander management, etc.
• Investigate prior losses and claim information and order reports as needed
• Handling high call volume and routing incoming telephone calls and electronic communication
• Obtain and collect paperwork from customers and third-party vendors to conclude claims
• Abide by the laws and regulations for auto total loss claims in Indiana, Ohio and Michigan
• Process claim payments to customs and vendors, printed and signed checks
• Resolve complex claims by analyzing documentation quickly and efficiently
• Successfully resolving customer concerns
Eligibility Counselor
TCR/Child Care Central - Birmingham, AL
October 2010 to March 2015
• Handling caseload A, D, E and O (350) clients
• Communicate with clients in person and through phone, fax, and email
• Solving complex problems and completing face to face interviews
• Determining eligibility for services
• Corresponding with state workers and setting appointments and mailing appropriate paperwork
• Processing paperwork and DHR referrals with proper counties Issuing payments to daycares
Education
Associate
Virginia College
2008 to 2010
Thomas M. Cooley High School - Detroit, MI
2000 to 2004