Remote Customer Support & Claims Specialist

CELESTE MULKEEN (ARMFIELD)

PROFESSIONAL SUMMARY

Experienced in customer service and claims processing, with expertise in managing Medicare/Medicaid policies and insurance claims. Skilled in data entry, compliance systems, and collaborative research, ready to leverage skills in a new role. Seeking a remote position to contribute to a team with effective support strategies and exceptional service.

EXPERIENCE

Remote Intake Agent

April 2025 - June 2025 CVS, South Plainfield, NJ

•Utilized problem-solving abilities to troubleshoot customer issues promptly and professionally.

•Provided excellent customer service, demonstrating strong communication and interpersonal skills.

•Built positive relationships with customers through consistent follow-up communications.

Remote Customer Support

February 2023 - November 2024 NJ Family Care, Pennington, NJ

•Managed Workers compensation • Manage work with Horizon, WellPoint insurance to provide calls with updates on their patient status

•Worked with Medicare and Medicaid policies

•Developed and implemented customer support strategies to improve efficiency and reduce costs.

•Identified potential areas of improvement within existing systems or processes related to customer support.

•Provided customer support, troubleshooting technical issues related to cable services while remaining professional and courteous.

Remote Claims Specialist

March 2024 - September 2024 Greenlife Healthcare, New York, NY

•Reviewed incoming documentation for completeness prior to processing a claim.

•Provided customer service to policyholders and claimants by answering their questions, resolving disputes, and explaining coverage details.

•Analyzed claims to determine extent of company's liability and made approval or denial decisions in accordance with policy

CONTACT

908- 230-5387 **********@*******.***

South Plainfield, NJ 07080

SKILLS

•Microsoft Office, Quickbooks, and Adobe Illustrator

•Customer Service

•Data Entry and Record Keeping

•Compliance Systems and Ad Hoc Reporting

•Medicare/Medicaid claim processing

•Payments and approval rates processing

•Cost of claim to insurance

•Audit and review of claims

•Collaborative Research

•Schedule Management

•Fluency in medical and legal terminology

•LTD/IDI Insurance Claims

provisions.

•Utilized appropriate job aids, knowledge and tools to process initial reception of claims.

Remote Customer Service III

September 2022 - April 2023 Bank Of America, Pennington, NJ

•Customer service rep

•Wealth Management

•Helping bank FA/CA rep manage accounts

•Helping with questions and complaints

•Manage incoming calls

•Worked with coworkers to complete tasks.

Remote Legal Collections Administrator

February 2021 - February 2022 Radius Global Solutions, Ramse, US

•In conjunction with American Express's Client's Recovery Department, increased collection portfolio from one to eight million dollars.

•Managed workers compensation.

•Managed caseloads, negotiated repayment terms, conducted asset research and communicated daily with legal offices. • Tracked accounts through entirely of legal process, including negotiating payments on pre-legal status accounts. • Ensured accounts met all local, state, and national regulatory parameters were met and in compliance.

Remote Collections Administrator

February 2020 - May 2020 Tower Staffing, New York, NY

•Focused on bankruptcy and accounts payable collections.

•Worked closely with customer service to facilitate client relationships on both accounts payable and accounts receivable side.

•Completed time-limited project for which I was hired on-time and exceeded goals.

•Identified trends in customer delinquency cycles and developed solutions to reduce future defaults.

EDUCATION

Bachelor of Applied Sciences in Business Administration

March 2008

DeVry University, NJ

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