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EXPERIENCE:

2/2013 - Present

Industry: Insurance

Claims Support I

Follow up on information needed for initial and continuation claims. Assist Care Managers and Care Coordinators, while providing exceptional customer service to policyholders, their representatives and providers. Review internal databases to complete accurate and timely follow-up on pending and inactive claims. Contact the insured, insured's representative or provider to follow-up on information needed to process the benefit inquiry. Keep clear and concise documentation of all claim activity within the internal databases. Meet/exceed quality and production metrics as established and communicated by the department.

8/2010 - 4/2015

Industry: Other/Not Classified

Medical Transcriptionist/Dictation Editor

Provided accurate transcription of Independent Medical evaluation reports, medical record review and verification.

7/2011 - 2/2013

Industry: Insurance

Claims Assistant

Set up FMLA standalone, disability, military, and worker's compensation claims, sent out medical and mailing documents, distributed incoming claims, requested medical records, routed incoming medical documents to correct examiners, responsible for new claims assistant employee training, manage security/identification badges, ordered employee name plates, ordered office supplies (for multiple teams), oversaw and interacted with vendors, oversaw FedEx processing, invoice reconciliation and provided back-up front desk coverage.

5/2009 - 8/2010

Industry: Insurance

Physician Advisor Coordinator/Claims Assistant (Temporary position)

Processed tracking of short-term disability claims and flow coordination of files from case managers to on-site physicians for disability claim review in GE Disability Center claims management system (Nucleus). Requested/entered/organized medical records. Saved completed disability claim reports into mainframe, copied and distributed accordingly. Assembled & mailed "First Response" STD claims packets. STD employee satisfaction survey packet assembly & mailing. Copied & mailed claims for Board Review. Coordination of peer-to-peer teleconferencing between PCP and on-site physicians. Retrieved provider voicemails and follow up. Distributed company-wide faxes. Processed invoices. Prepared appeals case files. Transcription report QA/review. Mailroom/fileroom backup.

7/2008 - 4/2010

Industry: Healthcare Services

Medical Records Clerk (Supplemental Part-time Evenings)

Voluntarily left due to a lack of work post electronic medical record conversion.

Pulled same day & next day appointments, responded to release of information requests & provided data to patients and medical providers, answered phones, input dictation and reports into charts, accurately pulled & re-filed patient medical charts. Performed quarterly chronic chart audits and contacted external vendors. Worked with patient information in Ntierprise software. Scanned and indexed patient information in Epic EMR system

6/2007 - 4/2008

Industry: Insurance

Technical Assistant II (Administrative) (Supplemental Part-time Evenings/Weekends)

Laid off - closed Bloomington office

Ordered police reports from Choicepoint, processed data entry of accident information into claims system, saved information in document storage program, processed claim payments, acknowledgement letter mailing, updated monthly Budget Variance report, & performed administrative functions/support as needed

6/2004 - 12/2006

Industry: Consumer Packaged Goods Manufacturing

Business Unit Specialist - Health & Beauty

Provided overall support for two senior account executives in Health & Beauty. Processed weekly sales reports, and updated & maintained product databases both internally & client based. Responsible for the creation and entry of item maintenance in client supplied inventory database for 45+ product Brands and 1645+ individual skus to include: new item set-up, price changes, discontinued tracking, off-invoice allowance entry, special pack set up and provision of MSDS sheets for 1645+ skus. Updated monthly spec sheets and researched/resolved Discrepancy report issues. Provided research & resolution for issues pertaining to the Personal Beauty Care & Haircare/color categories. Provided miscellaneous administrative support to account executives including calendar management, conference room/meeting bookings and catering arrangements, conference call set-up, and ordering of office supplies. Generated ad hoc business analysis reports and supplied feedback on market trends/financials. Assisted Category Manager with Category review and provided support as needed. Special projects as requested.

1/1997 - 1/2004

PREVIOUS HR/PAYROLL/BENEFITS EXPERIENCE:

Response and resolution of issues related to the processing of Human Resources, Payroll, and Benefits related information including bi-weekly timesheet entry up to 2500+ employees, completion of multi-state child support deductions, garnishments, tax levies, and wage assignments. Updated payroll & benefit records in HRIS. Supplemental pay processing, taxes, voluntary deductions, and adjustments. Contract wage increase entry and retro payment calculations. Entry of direct deposit and W-4 changes. HRIS support & customer service including consulting with employees regarding policies & procedures, regulations and general HRIS information. Maintenance of employee files and updates including data entry of HR, Payroll, and Benefit data in Oracle HRMS & ADP payroll including but not limited to new hires, terminations, leaves and location transfers. 3rd party notification of terminations, employee file changes, employment verifications, and customer service. Recruiting database and applicant tracking system (Webhire) management. New hire requisitions and postings to company intranet and online job boards. Recruiter assistance consisting of job file maintenance, confidential record filing, preparation and verification of forms, customer service and filing.

EDUCATION:

7/2008 - 12/2010

Associate Degree

6/1997

Bachelor's Degree

Graduated Cum Laude - Business Administration with a concentration in Management and a minor in Spanish.

6/1995

Associate Degree

Graduated with honors - Business Administration.

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