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Candidate's Name
Frankfort, IL  PHONE NUMBER AVAILABLEEMAIL AVAILABLESeeking a position in the insurance or customer service industry where I can utilize my skills and experience to help the success and growth of a company, and where I can become part of an amazing team and find personal and career growth.EXPERIENCESEPT 2019 - PRESENTELIGIBILITY COORDINATOR, Innovista health solutionsOrganize, maintain, and update eligibility informationInvestigate and research complex eligibility issues to facilitate a resolutionMaintain the integrity of the member database regarding eligibilityProvide general support to other departments as they relate to eligibility issuesJAN 2018  JULY 2019CLAIMS ADJUDICATOR, evolent healthSEPT 2015 - JAN 2018CLAIMS ADJUDICATOR, cicerone health solutionsAuditing processed claimsProviding feedback on claim issuesMaintaining accurate and detailed check run logsHandling individual client requests efficientlyCommunicating with inter-department staffSEPT 2012  SEPT 2015FRONT DESK, endodontics and periodontics associatesChecking patients in and outScheduling appointmentsAll day-to-day office workMAY 1998  JUNE 2011INSURANCE PROCESSOR/CUSTOMER SERVICE, united health careCustomer service callsInsurance claims processingInsurance appeals and claims reprocessingMAY 1996  APRIL 1998CUSTOMER SERVICE, pfc (NY Times call center)Customer service callsPromoted to dealing with escalated client issuesJUNE 1994  JAN 1996JOB COACH, cornerstoneHelp adults with disabilities be successful at jobs within their communityEDUCATIONJAN 1995BACHELOR OF PSYCHOLOGY, governors state universityGPA 3.2 with an emphasis in counselingJAN 1993ASSOCIATES OF ARTS, moraine valleyGPA 3.0 with an emphasis in psychology and minor in criminologySKILLSSuccessful, ambitious, motivated individualExtensive experience in the insurance and customer service industries