•Reviewing and evaluating claims for information on which to base payment•Referring to policy coverage and benefits limit information (i.e. medical guidelines, corporate policy, contract provisions, other coverage, etc.) to determine the appropriate course of action•Utilizing appropriate reference materials to research information, respond to, and resolve problems •Updating, manually processing, adjusting claims and/or records as appropriate•Preparing reports and/or logs, as necessary•May contact customers (i.e. subscribers, providers, brokers and/or policyholders) during the course of review to clarify and/or gather additional information required to process claims. •Resolve complex, difficult and/or non-routine submitted claims or customer service issues requiring special handling. •Interpret policy and contract eligibility. Ensure that claims are settled satisfactorily and that favorable relationships are maintained.

Provides volunteer clerical support to classroom teacher. Performs filing, organizes events, coordinates travel arrangements, assigns responsibilities to volunteers, and generates donations through fundraising events

Provide crisis intervention services in a non-judgmental manner. Provide adequate documentation for all phone calls. Maintain confidentiality of both callers and Crisis Line Policy and Procedure. Adhere to call management guidelines. Attend in-service trainings. Continue to practice effective crisis intervention after being released from the training program.

Reviewed financial information and made recommendations. Responded to customer inquiries. Explained regulatory guidelines and policies. Ordered supporting financial documents. Provided support to management. Coordinated with multiple departments to facilitate quality customer service in a high volume production environment. Interviewed candidates and assisted in the hiring process.

Managed customer service and ensured efficient transaction processing. Ensured compliance with operational policies and audit guidelines. Assisted customers with resolving issues and responded to their inquiries. Completed and processed new account applications. Managed a high volume of cash. Supervised team of up to 20 personnel. Trained and developed internal employees with an emphasis on coaching, providing quality service, and cross-selling in order to prepare them for promotion from within.