BlueCard-ITS Host Claims Processor Resume Example
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BLUECARD-ITS HOST CLAIMS PROCESSOR
Professional Summary
Customer-oriented claims processor with a background in customer service and medical and life insurance claims. Offers a problem solving mindset in a fast paced environment.
Work History
BlueCard-ITS Host Claims Processor, 02/2014
to Current
Eldorado Resorts, Inc. – Black Hawk , CO
Eldorado Resorts, Inc. – Black Hawk , CO
- Process professional, institutional, surgery, maternity, ancillary, and member submitted claims.
- Pay claims in a timely manner after submitting the original claim to the home plan for processing.
- Manually price claims that had no profile allowance.
- Fast paced work environment including pulling multiple claims from different queues.
- Process 100+ medical claims daily.
- Meet quality and performance goals monthly.
Slot Service Specialist, 08/2015
to Current
Mckibbon Hospitality – Columbia , SC
Mckibbon Hospitality – Columbia , SC
- Greet guests who need assistance in a timely manner.
- Solve issues regarding payouts and machine errors.
- Pay taxable jackpots won by guests playing machines.
Banquet Server, 07/2012
to 10/2013
Nothing Bundt Cakes – Franklin , TN
Nothing Bundt Cakes – Franklin , TN
- Help in the set up and tear down of banquet events.
- Serve plated dinners and buffets at events.
- Work concession stands.
Customer Service , 09/2013
to 02/2014
Nothing Bundt Cakes – Fremont , CA
Nothing Bundt Cakes – Fremont , CA
- Answer inbound calls regarding policy holders life insurance policies.
- Speak with policy beneficiaries on any updates or new information on life insurance claims.
- Set up new life insurance policies.
- Updat any policy information for customers.
- Take and set up payments over the phone for policies.
Customer Service , 08/2012
to 04/2013
West Asset Management – City , STATE
West Asset Management – City , STATE
- Collection services for hospital billing.
- Set up monthly payments and took one time payments on medical bills.
- Add insurance to patient accounts.
- Send back accounts for appeals.
- Solve issues on incorrect billing and payment issues.
- Inbound and outbound services.
- Give information on financial assistance services.
Skills
|
Education
High School Diploma: 2011
Thomas Jefferson High School - City, State
Thomas Jefferson High School - City, State
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Resume Overview
School Attended
- Thomas Jefferson High School
Job Titles Held:
- BlueCard-ITS Host Claims Processor
- Slot Service Specialist
- Banquet Server
- Customer Service
Degrees
- High School Diploma : 2011
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