Extensive background in dental claims, managed within company standards and best practices complex and problematic dental claims within delegated limited authority to determine benefits due; worked closely with case managers.Demonstrated success in negotiating win-win compromises, managed subrogation and negotiated settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim.Skills

Extensive background in dental claims, managed within company standards and best practices complex and problematic dental claims within delegated limited authority to determine benefits due; worked closely with case managers.Demonstrated success in negotiating win-win compromises, managed subrogation and negotiated settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim.

Highly motivated Dental Claims Associate with more than nine years of diversified customer relations, training and team leader/supervisory experience. Key Results:Responded to member concerns and questions about the dental plans. Worked on a dedicated team, which was designated to provide service to large groups.Educated the member to have a better knowledge of their dental coverage. Corrected claims and eligibility information in the system as necessary. Processed and adjudicated dental claims for dedicated groups.Consistently exceeded required quality standard of 125 claims per day. Provided dental offices with complete breakdown of dental benefits, and faxed member eligibility as necessary.

The New York Institute of Finance is part of Pearson, the global leader in education and education technology. Department Coordinator, Utilized highly organized skills to maintain department functions in the area of training, preparation of course material, creating class schedules for instructors, notifying all parties of cancellations.Key Results:Acted as the primary source for all inquiries regarding training schedules and exam results.Maintained accurate records for all exam results, which were uploaded in the system.Proctored exams in the absence of instructor.