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Title Data Entry Claims Processor
Target Location US-OH-Columbus
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
PHONE NUMBER AVAILABLEStreet Address  Windorf Drive,Westerville, OH Street Address
EMAIL AVAILABLEObjectiveImprove your capability to execute and deliver service. Provide effective functional solutions to business requirements. Contribute to the growth and success of your organization. Deliver unsurpassed technical competency and reliabilitySkillsExcellent Organizational SkillsStrong Customer Relations SkillsComputer ProficiencyCall CenterData EntryWord Processing and TypingComputer: Lotus 1-2-3, Microsoft Word, Power Point and Excel10-Key Data EntryCalculatorFilingCommission SalesMSPAnalytical ThinkingAttention to DetailCustomer Service AdvocateUnited Healthcare5900 Parkwood Pl, Dublin, OH 43016PHONE NUMBER AVAILABLEJanuary 2020- Currently EmployerAs Customer Service Advocate my responsible to assist members with benefit coverage questions. Advising members of plan deductible, copay, and coinsurance. Helping member with Explanation of Benefits as well as claims issues. Educating members on their prescription drug coverage. Research Physicians, hospitals, and dentist to ensure members choose in-network providers. Also collecting monthly premiums.General ManagerPopeyes Louisiana Chicken3461 Cleveland Ave, Columbus, OH 43224PHONE NUMBER AVAILABLEMay 2019- Currently EmployerAs a general manager my responsible for overseeing all the restaurant's operations, which includes hiring and firing staff, purchasing food, supplies and equipment, and dealing with suppliers and vendors. The general manager also oversees maintenance and upkeep of the dining areas, kitchen, and exterior grounds of the restaurant; scheduling of staff; decisions regarding the menu; budgeting, accounting, payroll, and other financial matters; promoting and advertising the restaurant; and dealing with the legal and regulatory issues involved in running a business. Assisting with various tasks during busy dining times and busy seasons. Interact with customers from time to time but are more likely working behind the scenes to keep the whole operation running smoothly.Night AuditorMarriott North West Columbus5605 Blazer Parkway, Dublin, OH, 43017PHONE NUMBER AVAILABLEJuly 2016- June 2019As a night auditor my responsible are to greet guests in a friendly and professional manner. Perform accurate check ins and check outs of guests daily. Answer the telephone in a timely and professional manner. Managing nightly hotel operations. Verify revenue from all sources is accurately balanced, reviewing discounts applied threw out the day, follow up on any discrepancies. Posting room fees, related taxes, other paid services, including restaurant, Internet, and miscellaneous fees, to each guest's account daily. Perform end of day procedures. Produce daily reports for departments and department heads. Compile and run statistical reports for all departments and transfer information to our Accounting department.Business and Government Customer Operations CoordinateVerizon Wireless5000 Britton Road, Hilliard, OH 43026PHONE NUMBER AVAILABLEJuly 2014- October 2018As a Business and Government Customer Operations Coordinate, I assist small/medium sized businesses, as well as major, national, and government accounts. Respond to questions or complaints from business and government customer relating to payments, balances, charges, and others information. Makes appropriate financial arrangements for payment for customers accounts. Answering questions about all company products, accessories, pricing plans, promotions, and service features. Troubleshoot hardware and software issues and identify network/applications issues. Provide detailed information on how to set up/configure data and voice products. Verify provisioning and diagnose device or Network issues. Advise business on cost impacting decisions that are right for their business.Mortgage Customer Service SpecialistChase Mortgage Services3415 Vision Drive, Columbus, 43219PHONE NUMBER AVAILABLEApril 2012- June 2014As a Customer Service Specialist, I assist customers with questions about mortgage statement and principal balance. Explaining details of F.H.A, Conventional, VA, and ARM loans to customers. Preparing documents for customers to pay off loan. Assisting customers with comprehending of closing loan documents and escrow accounts. Communicated with customers specials to promote on credit cards and refinance on loans for continuous business.Claims Processor Representative IIWellPoint, Inc.6740 North High Street, Worthington, Ohio 43085PHONE NUMBER AVAILABLESeptember 2008- February 2012As a Claim Representative II I process Medical, Dental, and Vision claims. Inspected claim to ensure proper Revenue, HCPC, ICD-9, Diagnosis and CPT codes are used on the claim. Also overlooking claim to make coordination of benefits information is keyed in system correctly. Processed claim adjustments to add late charger, correcting claim by add or deleting information left off by provider and recouping payment at the request of provider. Research and analyze claims issues to ensure all supplied information accurate before eligible payments are made. Elected to audit claim that were processed by my peers, trained in a classroom setting full of my peers, and rewritten standard operating procedures.EducationAssociate Degree in Business AdministrationColumbus State Community College, Columbus, OhioCurrently PursingDiplomaWhetstone High School, Columbus, Ohio1996- 2000ReferencesReferences are available upon request.

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