CHIQUITA MARSHALL
MEDICAL CLAIMS EXAMINER
DATA ENTRY SPECIALIST
SUMMARY
Detail-oriented Medical Claims Examiner and Data Entry Specialist with a strong track record of accurately processing and adjudicating medical claims in compliance with regulatory standards. Skilled in medical coding, claims analysis, and issue resolution, consistently delivering high-quality outcomes. Maintains a 99% accuracy rate while managing high-volume data entry tasks. A collaborative team player with strong communication skills and a proven ability to troubleshoot and correct data discrepancies efficiently.
PROFESSIONAL EXPERIENCE
WARRANTY CLAIMS PROCESSOR, HIREGY
Feb 2025 – April 2025
• Reviewed and processed warranty claims in accordance with manufacturer guidelines, ensuring timely and accurate resolution.
• Verified customer and product information, coordinated with service departments, and maintained detailed records of all claim activity.
• Communicated with vendors, dealerships, and customers to clarify claim details, resolve discrepancies, and expedite approvals.
• Utilized specialized software systems to enter, track, and manage warranty data, contributing to efficient workflow and compliance.
CLAIMS EXAMINER, LA CARE-IMAGENET LLC.
Jan 2024 – Jan 2025
• Accurately reviewed and processed medical claims, ensuring compliance with state, federal, and CMS regulations.
• Calculated benefits and determined payment eligibility, including non-payable categories, to support proper claim adjudication.
• Evaluated claim forms (UB-04 and CMS-1500) for accuracy and completeness, verifying services and charges in accordance with Medicare guidelines.
• Followed established claims adjudication procedures to ensure timely and compliant claim resolution.
CONTACT
******************@*****.***
Clearwater, FL
Education
Ultimate Medical Academy
Certified Medical Assistant
Hollins High School
Systems & Technical Skills
• Proficient in Microsoft
Office365
• Experienced with
enterprise systems
including AS400, SAP,
AWD, ClaimNet,
DataNet, and QNXT
Professional Skills
• Strong organizational
abilities with proven
success in high-volume,
fast-paced
environments.
• Quick learner with the
ability to adapt to new
processes and
technologies efficiently.
• Excellent written and
verbal communication
skills.
• Skilled in providing
professional and
courteous customer
service, including
effective telephone
communication.
DATA ENTRY SPECIALIST, KELLY SERVICES-J & J
Sep 2023 – Jan 2024
• Entered and maintained over 500 payroll audits and records. monthly in the SAP database with a high degree of accuracy.
• Updated employee payroll tax information and withholdings to ensure compliance with current regulations.
• Created and configured new payroll profiles as part of the employee onboarding process.
• Processed and compiled employee data into internal databases, supporting efficient payroll and HR operations.
PAYROLL SPECIALIST, PAYCHEX INC.
Oct 2021 - Aug 2022
• Maintained accurate payroll records, including updates to tax status, garnishments, and withholdings.
• Processed weekly payroll using Paychex Flex and SurePayroll systems, ensuring timely and accurate payments.
• Applied comprehensive knowledge of IRS regulations, state and local tax laws, and wage and hour compliance requirements.
• Demonstrated strong attention to detail and upheld strict data confidentiality standards throughout all payroll processes. CUSTOMER SERVICE REP., TATA CONSULTANCY.
Mar 2019 - Oct 2021
• Processed payments for policyholders and provided prompt, accurate responses to general policy inquiries.
• Utilized strong problem-solving and analytical skills to resolve customer concerns efficiently and effectively.
• Built and maintained positive relationships with customers to support satisfaction and loyalty.
• Proactively identified customer needs and recommended appropriate solutions to enhance retention and overall service experience.
CUSTOMER SERVICE REP., CCS MEDICAL
July 2018 – Feb 2019
• Receive incoming calls and assist customers with inquiries
• Place orders for diabetic medical supplies and durable medical equipment (DME)
• Verify and update customer address and insurance information
• Request and obtain required medical documentation from physicians and insurance companies for order processing and compliance
OFFICE MANAGER - AFFORDABLE FAMILY MOVERS
Apr 2015 - Jun 2018
• Processed weekly employee payroll, including bonuses and tips
• Submitted all new hire documentation and maintained employee records
• Prepared and filed quarterly and annual payroll taxes in compliance with federal and state regulations
• Generated and distributed annual 1099 forms for applicable employees and contractors
• Created and managed weekly employee work schedules to ensure adequate staffing