Contract Administrative Representative

• Jan 2023 - Present

Claims Representative

• Aug 2022 - Jan 2023

Take first notice of loss for death claims.Determine benefits and prepare appropriate documents for all life, living benefit, and disability claims.Analyze and review information for accuracy, completeness, and eligibility according to policy provisions.Prepare and maintain reports and records for processing.Review statements, records, and reports to determine if a claim is approved or denied.Correspond with stakeholders regarding claims to determine if an investigation is needed and to conduct or coordinate an investigation.Report suspicious activity or fraud concerns per the company guidelines. Show less

Annuity Representative

• Jul 2011 - Jan 2023

Project Manager for annual Fair Market Value Statements and I.R.S. form 5498. Support for tax forms 1099-INT, 1099-R, 1099-MISC, 5498, 5500, B notice and withholding notification. Testing, verification, mail merge, mailing, return mail, corrections, and duplicates. New business, correspondence, mailout, maintenance, policy changes, policy support, return mail settlement quotes, surrenders and death claims. Provide prompt accurate service to policy owners, agents, marketing associates, plan administrator, and other authorized parties.Take first notice of loss for death claims.Determine benefits and prepare appropriate documents for living benefits and death claims.Analyze and review information for accuracy, completeness, and eligibility according to policy provisions.Prepare and maintain reports and records for processing.Report suspicious activity or fraud concerns per the company guidelines. Show less

Workers Compensation Specialist

• Feb 2005 - May 2011

Insurance Verification for workers compensation, Veterans Administration, and Medicaid for treatment, and durable medical equipment. SchedulingCommunicating with Employers, Physicians, Rehabilitation Nurses, and Insurance Adjuster's.Record daily statistics for the Insurance Department. Managed Care Provider for verification and troubleshooting inconsistencies. Scan medical information into electronic medical record (EMR), sort, and file. Claims preparation and mailing. Show less

Accounts Receivable Specialist

• Feb 2005 - Mar 2009

Accounts Receivable, analysis, reporting and applying payments. This included the determination of the patient responsibility and requesting payments received and outstanding balances. Collection of patient balances and forwarding to collections when the default on payment arrangements or failure to pay. Communicate with insurance companies to request formal audits, reviews, reconsideration's and appeals.

Optician

• Dec 2003 - Feb 2006

Assisting patients with eye wear selection and optical lenses. Instructing patients with insertion, removal and core of new contact lenses. Responsible for order entry, verification, inspection, patient notification and dispensing. Other duties included scheduling appointments, insurance verification, billing and filing. Assisting patients with eye wear selection and optical lenses. Instructing patients with insertion, removal and core of new contact lenses. Responsible for order entry, verification, inspection, patient notification and dispensing. Other duties included scheduling appointments, insurance verification, billing and filing.

Insurance Analyst

• Aug 2002 - Dec 2003

Policy Maintenance: PAC (pre-authorized check)/EFT (electronic funds transfer) setup, modification, and deletion; payments Policy Maintenance: PAC (pre-authorized check)/EFT (electronic funds transfer) setup, modification, and deletion; payments

Postal Clerk

• Jan 1997 - Jul 1997

Receiving, sorting and logging, first class, certified, return receipt, and signature required. Signature required mail Modifying customer information regarding holds, forwards, return to sender and address changes. Receiving, sorting and logging, first class, certified, return receipt, and signature required. Signature required mail Modifying customer information regarding holds, forwards, return to sender and address changes.