Gregory Hamlin Email & Phone Number

Florence, Sc, Us

Florence, Sc, Us

Florence, South Carolina Area

Louisville, Kentucky Area

-Resolve escalation claims and issues from management, directors, and executive management levels -Reprocess and adjust health benefit claims as necessary -Assist team members with specialty durable medical (DME) and institutional claims -Responsible for identifying and responding accurately and appropriately to large volume specialty provider claims

Columbia, South Carolina Area

-Monitor pending provider inquiries for all lines of private business.-Researched claims and claims history in relation to researching how to alleviate the high volume of provider inquiries. -Analyzed and collected data from various forms of inquiries in order to recognize possible trends to reduce incoming provider inquiries.-Work with all levels of internal and external customers.-Proposed processes to reduce the number of provider inbound inquires.-Work on various projects as assigned.

Columbia, South Carolina Area

-Monitor, maintain and manage pending of inbound provider web inquiries.-Supervise 27 associates – onsite and offsite.-Scheduled associates work schedules and performed disciplinary actions when needed. -Conduct information gathering to recognize trends from web inquiries.-Analyzed data from web entries in order to reduce the number of inquiries.-Work with all levels of internal and external customers.-Developed processes to reduce the number of inbound inquires by recognizing issues and instituting corrective actions.-Work on various project committees.

Florence, South Carolina

-Monitor, maintain, and revise multiple databases. -Research issues or potential claims processing errors. -Conduct information gathering, documentation and origination of system change requests. -Work with all levels of internal and external customers. -Schedule and facilitate developmental meetings with external and internal customers. -Project Leader for system changes. -Work on various project committees. -Provide prompt, accurate, thorough and courteous responses to complex customer inquiries. -Reprocess and adjust health insurance claims for customers. -Train new associates on health insurance claims processing and customer service. -Subject Matter Expert for home health and skilled nursing claims within the department.

Florence, South Carolina

-Create new business for a new agency. -Prospect for new clients. -Sell new life, health, homeowner and auto insurance. -Provide customer service.

Florence, South Carolina

-Prospect and write policies for life, health, homeowner and auto insurance. -Provide customer service. -Submit applications for deposit accounts and loan applications to State Farm Bank. -Help set objectives to meet and exceed State Farm goals for the agency.

Florence, South Carolina

-Develop and execute test scenarios for a new online health claim processing system. -Identify and resolve defects associated with new online claim processing system for claims processing. -Develop a Help Desk to identify and track onsite production claims processing issues. -Train staff on new online claims processing system and routing system. -Deliver prompt, correct, thorough and courteous responses to multifaceted customer inquiries. -Reprocess and adjust claims for customers. -Coach new associates on health insurance claims processing and customer service. -Point of Contact for TRICARE Benefit Service Representatives (BSR).

Myrtle Beach, South Carolina

-Maintain and manage finances for the operations of a private medical auditing firm. -Work with proposals and contracts between the firm and health care providers. -Research medical records to recover charges for the health care providers. -File corrected medical claims to various health insurance carriers for recovered charges. -Work with the health care provider’s administration to help recover omitted charges.

Myrtle Beach, South Carolina

-Supervise a staff of over 60 per shift. -Conduct disciplinary actions when individual staff members did not follow procedures. -Interview, hire, and train new arena staff. -Complete work schedules and payroll each week for all arena staff. -Handle face to face customer concerns when presented with the challenges. -Represent Dixie Stampede at public functions. -Serve guests when needed.

Myrtle Beach, South Carolina

-Assist in the management of 40+ staff. -Execute disciplinary actions when protocol was not followed. -Create work schedules for the restaurant for the each week -Reconcile receipts after each shift. -Conduct nightly audits of inventory nightly, based on trended data. -Help to train new staff. -Serve approximately 100 to 200 customers per shift. -Train new hires. -Clean and restock supplies for the next shift. -Periodically assist in other operational areas when needed.

Bachelor Of Science, Business Management

Activities and Societies: Student Programming Board, Alpha Phi Omega Fraternity, and Intramural Sports I worked a full time job, while I.

College Prep Diploma, College Prep

Activities and Societies: Tennis Team, Chorus and Annual Staff