Customer Service Workers Compensation

Location:

Posted:

May 25, 2025

Shelby Bartellis

Reynoldsburg, OH 43068

**********@***.***

HealthScope Benefits / UMR – July 2010 to January 2024 Customer service quality auditor

• Set up the initial auditing program for HealthScope Benefits

• Worked with auditing and management teams to update auditing criteria and create new audit sheet

• Worked with developer to migrate our audit form to a digital format

• Audited customer service phone calls for correct information and professional manner.

Frank Gates Service Company – July 2005 to January 2010 Workers compensation claims analyst

• Assisted clients in deciding whether to allow workers compensation claims

• Set up claims

• Investigated whether requested treatment is connected to allowed conditions

• Paid injured workers with allowed disability claims

• Set up all documentation so hearing reps and attorneys had needed information for hearings

Metatec – September 2000 to July 2005

Client specialist

• Set up orders for custom DVDs and CDs for a book of clients

• Fulfilled orders for a number of clients

• Ran orders for paper products such as CD covers through our art department to order via third party vendor

• Resolved any issues with orders or shipping

Vision Service Plan - February 1996 to July 2000

Team lead – research and adjustment

• Led team of specialized customer service reps who resolved issues with eye exams, glasses and contact lenses

• Audited phone calls for senior customer service reps, who assisted customer service reps and took escalated calls

• Trained new research reps and all reps on new or changed procedures

• Compiled monthly and yearly reports

• Handled attendance