Claims Representative

• Dec 2019 - Present

MedPay/PIP adjuster for ND, SD, and NE Assists customers with first party medical claims by explaining the applicable benefits, required forms and procedures, providing claim status and updates throughout life of claim. Review coverage benefits and work with medical facilities, attorneys, and other insurance companies to ensure prompt and proper claims payment and completion.

Claims Assistant

• Jun 2017 - Dec 2019

Independent Agent

• 2013 - May 2017

Bring in new customer through sales of supplemental insurance products. Expand insurance coverage into multiple markets in 3 states Contact potential clients by telephone or in person in order to secure appointments. Prepare and deliver presentations to groups and company employees for multiple products Obtain existing financial details in order to run insurance quotes and provide best coverage options Work with clients to file insurance claims ensuring that clients get rapid… Show more Bring in new customer through sales of supplemental insurance products. Expand insurance coverage into multiple markets in 3 states Contact potential clients by telephone or in person in order to secure appointments. Prepare and deliver presentations to groups and company employees for multiple products Obtain existing financial details in order to run insurance quotes and provide best coverage options Work with clients to file insurance claims ensuring that clients get rapid approval, maintaining superb customer service. Processed applications, payments, corrections, and cancellations. Promoted agency products to customers in person, on the telephone and in writing. Compiled coverage and rating information in an accessible format. Prepared necessary paperwork to process insurance sales and renewals. Followed up with potential clients regarding online information requests. Presented and clearly explained insurance policy options to clients based on their needs and goals. Developed productive working relationships with owners, individuals and other business partners in the community. Researched coverage and premium options and supplied clients with the best coverage available. Developed life insurance and commercial insurance leads to meet monthly sales targets. Presented account proposals in a professional and timely manner. Show less Bring in new customer through sales of supplemental insurance products. Expand insurance coverage into multiple markets in 3 states Contact potential clients by telephone or in person in order to secure appointments. Prepare and deliver presentations to groups and company employees for multiple products Obtain existing financial details in order to run insurance quotes and provide best coverage options Work with clients to file insurance claims ensuring that clients get rapid… Show more Bring in new customer through sales of supplemental insurance products. Expand insurance coverage into multiple markets in 3 states Contact potential clients by telephone or in person in order to secure appointments. Prepare and deliver presentations to groups and company employees for multiple products Obtain existing financial details in order to run insurance quotes and provide best coverage options Work with clients to file insurance claims ensuring that clients get rapid approval, maintaining superb customer service. Processed applications, payments, corrections, and cancellations. Promoted agency products to customers in person, on the telephone and in writing. Compiled coverage and rating information in an accessible format. Prepared necessary paperwork to process insurance sales and renewals. Followed up with potential clients regarding online information requests. Presented and clearly explained insurance policy options to clients based on their needs and goals. Developed productive working relationships with owners, individuals and other business partners in the community. Researched coverage and premium options and supplied clients with the best coverage available. Developed life insurance and commercial insurance leads to meet monthly sales targets. Presented account proposals in a professional and timely manner. Show less

Operations Coordinator

• Aug 2012 - Dec 2013

-Facilitate and maintain an active role by providing training, quality assurance by discovering and/or implementing process enhancements for team functions to new and existing employees -Research and respond to questions both internally and externally concerning recoupment issues -Perform quality assurance assessments to ensure that staff is properly carrying out their assigned duties and tasks in accordance with NHS and CMS standards -Research all incoming workload to sort and verify… Show more -Facilitate and maintain an active role by providing training, quality assurance by discovering and/or implementing process enhancements for team functions to new and existing employees -Research and respond to questions both internally and externally concerning recoupment issues -Perform quality assurance assessments to ensure that staff is properly carrying out their assigned duties and tasks in accordance with NHS and CMS standards -Research all incoming workload to sort and verify that it will be worked in the correct department -Create and train staff on process changes and updates Show less -Facilitate and maintain an active role by providing training, quality assurance by discovering and/or implementing process enhancements for team functions to new and existing employees -Research and respond to questions both internally and externally concerning recoupment issues -Perform quality assurance assessments to ensure that staff is properly carrying out their assigned duties and tasks in accordance with NHS and CMS standards -Research all incoming workload to sort and verify… Show more -Facilitate and maintain an active role by providing training, quality assurance by discovering and/or implementing process enhancements for team functions to new and existing employees -Research and respond to questions both internally and externally concerning recoupment issues -Perform quality assurance assessments to ensure that staff is properly carrying out their assigned duties and tasks in accordance with NHS and CMS standards -Research all incoming workload to sort and verify that it will be worked in the correct department -Create and train staff on process changes and updates Show less

Executive Officer

• Sep 2001 - Dec 2012

-Provided quality control of 12 government contracts worth over $83Mil by advocating for the contract requestors to ensure requests are complete, professional, and timely -Supervise a 10 person team while conducting vulnerability assessments to identify issues or vulnerabilities and recommend mitigations -Create reports to explain vulnerabilities and mitigations to supervisors, as well as report the information to various entities through the chain of command -Developed a leader book… Show more -Provided quality control of 12 government contracts worth over $83Mil by advocating for the contract requestors to ensure requests are complete, professional, and timely -Supervise a 10 person team while conducting vulnerability assessments to identify issues or vulnerabilities and recommend mitigations -Create reports to explain vulnerabilities and mitigations to supervisors, as well as report the information to various entities through the chain of command -Developed a leader book template that has been useful to the other supervisors in managing their personnel and training -Supervised the accountability, control, and distribution of $750K worth of equipment -Planned, implemented, and evaluated training of 145 personnel Show less -Provided quality control of 12 government contracts worth over $83Mil by advocating for the contract requestors to ensure requests are complete, professional, and timely -Supervise a 10 person team while conducting vulnerability assessments to identify issues or vulnerabilities and recommend mitigations -Create reports to explain vulnerabilities and mitigations to supervisors, as well as report the information to various entities through the chain of command -Developed a leader book… Show more -Provided quality control of 12 government contracts worth over $83Mil by advocating for the contract requestors to ensure requests are complete, professional, and timely -Supervise a 10 person team while conducting vulnerability assessments to identify issues or vulnerabilities and recommend mitigations -Create reports to explain vulnerabilities and mitigations to supervisors, as well as report the information to various entities through the chain of command -Developed a leader book template that has been useful to the other supervisors in managing their personnel and training -Supervised the accountability, control, and distribution of $750K worth of equipment -Planned, implemented, and evaluated training of 145 personnel Show less

Education Assistant

• Sep 2010 - Sep 2011

-Primary contact for department, answering questions and directing calls as needed -Manage data tracking for department, including: over 200 students in various programs, dozens of classes, and numerous employee reimbursements -Receive incoming financial requests, gather required documentation and prepare packets, ensuring quick payment for any of 790 employees -Primary contact for incoming students, determine eligibility for training, prepare all required documentation for admittance… Show more -Primary contact for department, answering questions and directing calls as needed -Manage data tracking for department, including: over 200 students in various programs, dozens of classes, and numerous employee reimbursements -Receive incoming financial requests, gather required documentation and prepare packets, ensuring quick payment for any of 790 employees -Primary contact for incoming students, determine eligibility for training, prepare all required documentation for admittance to the program -Utilize various computer programs and hardware, as well as trained coworkers in their use; Including- Microsoft Office, VistA, printers, copiers, scanners, fax machines, multiline phones, etc. Show less -Primary contact for department, answering questions and directing calls as needed -Manage data tracking for department, including: over 200 students in various programs, dozens of classes, and numerous employee reimbursements -Receive incoming financial requests, gather required documentation and prepare packets, ensuring quick payment for any of 790 employees -Primary contact for incoming students, determine eligibility for training, prepare all required documentation for admittance… Show more -Primary contact for department, answering questions and directing calls as needed -Manage data tracking for department, including: over 200 students in various programs, dozens of classes, and numerous employee reimbursements -Receive incoming financial requests, gather required documentation and prepare packets, ensuring quick payment for any of 790 employees -Primary contact for incoming students, determine eligibility for training, prepare all required documentation for admittance to the program -Utilize various computer programs and hardware, as well as trained coworkers in their use; Including- Microsoft Office, VistA, printers, copiers, scanners, fax machines, multiline phones, etc. Show less

Teacher

• Sep 2008 - Jan 2009