Data Entry & Claims Specialist with Insurance Focus

Chatelle Frison Menton

***- ***-**** *********@*****.*** Easton, PA 18042

Experience

DEC '24 - MAR '25

Data Entry Clerk Access Records Management, Washington, NJ

Enter, update, and maintain data accurately from various sources into databases, spreadsheets, and other systems.

Scanned documents and saved in database to keep records of essential organizational information. Sorted documents and maintained organized filing process.

Organized, sorted, and checked input data against original documents.

Review data for errors, inconsistencies, or incompleteness, and take corrective action

Handle sensitive information with integrity and adhere to data privacy guidelines.

Good understanding of a pre-existing Excel spreadsheet.

Proficiency with data entry software, databases, and the Microsoft Office (especially Excel).

Managed workload efficiently to meet tight deadlines in crucial.

AUG '24 - NOV '24

Claims Examiner Maximus, Easton, PA

Researched claims to deliver solutions and resolve problems.

Interviewed claimants and witnesses to gather factual information.

Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.

MAY '23 - AUG '24

Data Entry Clerk Insurify National, Easton, PA

Generated and maintained weekly and monthly reports of data entry progress.

Developed and maintained reports and spreadsheets to track data entry progress.

Met departmental goals for productivity, accuracy, turnaround times, and quality assurance standards.

Review data for errors, inconsistencies, or incompleteness, and take corrective action.

Managed workload efficiently to meet tight deadlines in crucial.

MAY '20 - JAN '23

Claims Benefit Specialist AETNA CVS HEALTH, Bethlehem, PA

Analyzed claims to determine the extent of the company's liability and made approval or denial decisions per policy provisions.

Improved claims handling processes by analyzing, tracking, and troubleshooting root causes of previously managed claims.

Coordinated with medical professionals to obtain relevant documentation for injury claims.

FEB '18 - JUN '19

Customer Service Representative BB&T, Allentown, PA

Assisted customers with setting up or closing accounts, completing loan applications, and signing up for new services.

Investigated and correct errors upon customers' request, accorded to customer, and bank records.

Collaborated with departmental leaders to establish organizational goals, strategic plans and objectives.

Education

AUG '20

Bachelor Of Science (B.S) in Health Administration Management

DESALES UNIVERSITY, PA

Skills

Microsoft office (Word, Excel, Spreadsheets, Outlook)

Communication

Certifications

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