Customer Service Claims Specialist

Latifah Edwards

QUALIFICATIONS SUMMARY

●Strong customer service background with commitment to follow-up with customers concerns

●Proactive problem solver with excellent communication both written and verbal

●Proven professional in planning, coordinating and organizing

●Team player with strong interpersonal and organizational skills

●Knowledgeable of HIPAA Laws and ICD-9/10 Codes

●Proficient in Microsoft Office and Medisoft Software

EDUCATION

Brown Mackie College Cincinnati, OH Associate of Applied Science-Health Care Administration August 2013

Coursework Completed: Medical Ethics, Medical Terminology, Pharmacy 1, Human Diseases, Computerized Diagnostic Coding

PROFESSIONAL EXPERIENCE

INTEGRITY EXPRESS LOGISTICS Blue Ash, OH 08/2022 to 09/2025

Claims Specialist

●Review, process and investigate claims

●Implement broker requests for carrier and claim inquiries

●Determine coverage and liability

●Communicate effectively with various parties

●Negotiate settlements

CELANESE Florence, Ky 09/2021-06/2022

Laboratory Technician

●Receive, test, analyze, and report results of test

●Label and safely store samples to be tested

●Determine and perform test needed for analysis and reporting

MERCY HEALTH BON SECOURS Cincinnati, OH 10/2020-08/2021

Patient Access Specialist-Team Lead

●Maintain the highest standards of customer service excellence

●Ensure staff performs all duties according to established customer service standards

●Communicates with family or caregivers to address overall needs

●Process insurance for billing

US BANK Cincinnati, OH 08/2015 – 09/2020

Personal Banker Representative

●Assist in Customers inquiries regarding their Personal Accounts, financial needs, and transactions

●Provide information on banking products and services

First Student Cincinnati, OH 02/2015 - 09/2015

School Bus Driver

●Transported Children to School

Staffmark Cincinnati, OH 01/2010 - 12/2014

Packer

●Verified packages had the correct information on labels

●Packaged the product once evaluated to ensure safety

Wendy’s Cincinnati, OH 09/2007 - 11/2009

Cashier

●Greeted customers and ascertain what each customer wants or needs

●Computed sales prices, total purchases and received and processed cash or credit payments

●Watched for and recognized security risks and thefts and knew how to prevent or handle them.

HONORS AND AWARDS

National Honor Society

Chosen as youth speaker for the Mayor of Cincinnati

Selected as vocalist for Baby Grands, Meridian 8, and Chorale

Won an International Vocal Competition in Verona, Italy

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