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Administrative Assistant Resume
Business Development Manager Resume
Laura
US
10+ yrs
Yes
Customer Service
Work from home opportunies
Training:
All education and training gained in formal training and practical experience
Dale Carnegie human relations course Customer Relations training course
Quality Circle Facilitator training seminar Interpersonal Relations training seminar
ICD-9 Medical Coding Microsoft Outlook
Medical Billing Microsoft Excel
CPT4 Medical Coding Microsoft Word
COBRA Compliance seminar Microsoft Power Point
Member of International Claims HIPAA Compliance seminar
Association Lotus Symphony training course
HIAA Individual and Group Life and Health Insurance Agent
Ben Davis High School Graduate licensed in the State of Indiana, 1996-1999
Indianapolis, IN
Experience:
November 2004 present
International Medical Group, Indianapolis, IN
*Call center representative - Responsible for answering calls from providers and insureds regarding their international medical coverage policies. Knowledge of 60+ different policies that cover US and non-US citizens traveling outside of their home countries. Communicate verification of benefits, including plan interpretation, as well as claim payment explanations. Responsible for extensive documentation of all communications, claim correction routing and follow up.
March 1996 March 1999
Gregory & Appel Insurance, Indianapolis, IN
*Client Service Agent - Worked as the assistant to the companys Vice-President in Benefit Sales. Licensed Health and Life Insurance agent for the State of Indiana. Responsible for determining health, life and disability insurance needs for individual and group clients. Obtained quotes from various markets. Compiled and analyzed the market information received into proposal options. Finalization of the sales process. Responsible for overseeing enrollment process for clients. Served as clients representative in claim disputes. Answer coverage, billing, claim processing, eligibility and miscellaneous questions regarding multiple policies. Responsible for trade show acquisitions, set up, staffing and extensive customer contact during the shows.
December 1989 March 1999
Gardner & White, Inc., Indianapolis, IN
*Customer Service Representative Administrator. Responsible for extensive contact with clients, policy holders and providers regarding coverage, billings, payments and pre-certifications. Identify payment errors and route to proper personnel for corrections. Communications with multiple insures and management regarding plan interpretation, benefits and coordination of benefits with other carriers for over 75 different policies.
*Claims auditor / claims trainer responsible for auditing multiple claims processors. Supply auditing feedback to management and employees. Responsible for training new processors and at risk employees to help identify problem areas and address their training needs. Implement processing and auditing guidelines.
*Claims processor - responsible for claims processing for multiple third party clients.
March 1980 March 1990
Anthem, Blue Cross & Blue Shield of Indiana, Indianapolis, IN
*Quality Control Administrator - Maintained quality, quantity, and timeliness records. Prepared financial reports for submission to the Indiana Commissioner of Insurance. Audited group and non group accounts. Supervised 12-15 auditors in various departments for all processing units of the Consumer Division. Researched and prepared special reports, equipment purchase requisitions, training and development needs. Performed customer service need / satisfaction surveys and maintained phone contact with clients. Served as Quality Circle facilitator helping non-exempt employees analyze their job related and personal problems with performance and develop definitive solutions for those problems. Helped employees implement time and labor saving procedures.
*Claims auditor responsible for auditing multiple processors in various departments
*Claims processor responsible for processing claims for individual, Medicare supplement, and Federal Employee Program policies.
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