Danielle Govan Email & Phone Number

San Francisco, California, US

• Claim Adjuster
• Reviewed damaged vehicle claims sent by owners and renters. Worked claims from start to finish.
• Communicated via email with owners, renter, and shops, issuing payments when necessary.
• Requested estimates for damages.
• Sent accident- or theft-related claims to third party.

• Case Manager
• Communicated with providers regarding re-enrollment into copay assistance / patient assistance programs.
• Contacted payers to obtain benefits and authorization, following up for prior authorization status.
• Re-enrolled patients into 2019 copay and patient assistance program.

Phoenix, Arizona, US

• Communicated with providers regarding claims, appeals, and adjustments.
• Prepared and sent letters to providers detailing customer resolutions.
• Sent appeals, adjustments, and medical records.

• Applied experience with ICD10’s, CPT codes, policies, etc.
• Provided resolutions for patients and providers.
• Communicated with providers regarding complex case situations.

Salt Lake City, Utah, US

• Assisted clients with credit repair by promoting service registration.
• Verified sensitive information such as credit history, social security, etc.
• Coordinated with clients by problem solving, recommending, and implementing credit options.
• Managed high volume of inbound calls.
• Upsold company products.

• Addressed customer provider / member questions regarding claims.
• Assisted with scheduling member doctor appointments.
• Coordinated face-to-face with members within community center.
• Leveraged experience with ICD9’s, insurance verifications, and reimbursements.

Falls Church, Virginia, US

• Addressed supervisor inquiries from agents and escalated calls from beneficiaries.
• Assisted lower-level agents and mentored general Medicare CSR’s in claims inquiries.
• Resolved customer complex needs and complaints.
• Investigated and resolved escalated complaints from beneficiaries.
• Facilitated developing and delivering training to current and new agents to improve quality and performance. Medical Claims Representative
• Addressed Medicare claim inquiries in call center for current / potential Medicare beneficiaries.