Jennifer R. Edwards
Columbia
Summary
Dynamic professional with extensive experience at Aflac Group, excelling in issue resolution and client management. Proven ability to enhance operational efficiency through advanced data analysis using VLOOKUP and pivot tables. Recognized for fostering collaborative team environments while consistently meeting SLA compliance and delivering exceptional customer service.
Overview
29
29
years of professional experience
Work History
Premium Reconciliation Specialist
Chubb/Combined
Columbia
06.2025 - Current
- Conduct premium payment audits when required to help clients identify incorrect or missing payments.
- Communicate policy financial status to internal and external partners.
- Partner with the client finance representative on any communication necessary to resolve billing vs. remittance challenges and past due invoices.
Supervisor
Aflac Group
Columbia
10.2023 - 03.2025
- Led a high-performing team, promoting a collaborative and compassionate culture.
- Ensured consistent understanding of procedures, delivering process updates and coaching.
- Reviewed and updated internal documentation to improve departmental efficiency.
- Leveraged Excel tools (Pivot Tables, VLOOKUP) to streamline data processing and team workflows.
Accounting Lead Specialist
Aflac Group
Columbia
08.2021 - 10.2023
- Provided top-tier billing and account support, enhancing client relationships.
- Assisted with supervisory responsibilities, including productivity tracking and reporting.
- Acted as subject matter expert for complex issue resolution.
- Consolidated and analyzed large datasets using Excel functions to support task delegation.
Accounting Specialist IV
Aflac Group
Columbia
09.2018 - 08.2021
- Resolved premium discrepancies and met SLA goals with consistency.
- Built trust with Client Management by offering dependable, accurate support.
- Used VLOOKUP and Pivot Tables to manage account data efficiently.
- Managed brokers accounts for MMA (Marsh McLennan Agency), Mercer, and AON.
Accounting Specialist II/III
Aflac Group
Columbia
11.2013 - 09.2018
- Managed top broker accounts (AON, Mercer) for collections and financial adjustments.
- Processed workflow requests with mindfulness and reliability.
- Collaborated with multiple departments to ensure issue resolution and continuity.
Customer Service II
Aflac Group
Columbia
09.2012 - 11.2013
- Coordinated inbound calls from patients and providers about benefits inquiries, evaluating explanations of benefits (EOBs), and addressing questions related to claims processing.
Member Service Representative
America’s 1st Choice
11.2010 - 09.2012
- Clarified benefits for patients and providers through inbound call responses.
- Educated members on product offerings to enhance engagement.
- Guided callers through authorization procedures and claims processing.
- Resolved member issues collaboratively with team members to improve service quality.
- Answered inquiries regarding products and services to ensure understanding.
- Provided strategic guidance on optimal usage of organizational products or services.
Medical Collections Specialist
Recruiting Solutions / VBO
04.2009 - 06.2010
- Conducted research on unpaid and denied claims to identify payment processing steps.
- Coordinated with healthcare providers to resolve billing discrepancies efficiently.
- Communicated with patients regarding outstanding balances and structured payment plans.
- Analyzed unpaid medical bills and recommended appropriate collection actions.
- Reviewed and processed patient accounts to facilitate collections.
Claims Associate I, II, III / Business Analyst
Blue Cross Blue Shield / Tricare
06.1996 - 10.2007
- Ensured accurate claims processing through meticulous data entry.
- Resolved claims by correcting errors and reviewing supplemental information.
- Addressed inbound calls regarding benefits, authorizations, and claim explanations.
- Processed and reviewed claims to ensure accuracy and policy adherence.
- Collaborated with internal teams to efficiently resolve claim-related inquiries.
- Trained new associates on claims procedures and best practices.
- Provided exceptional customer service by promptly addressing client concerns.
- Conducted research on claim issues using various databases and documentation.
Education
Bachelor of Science - Business Administration Management
Limestone College
Gaffney, SCCertificate - Medical Office Administration
Williamsburg Technical College
Kingstree, SCSkills
- Issue resolution and verification
- Premium processing
- Customer service and call center operations
- Medical claims support
- SLA compliance and workflow management
- Client management and partnership development
- Policy review and updates
- Data analysis (VLOOKUP, pivot tables)
- Salesforce CRM
Education And Professional Development
- Bachelor of Science in Business Administration Management, Limestone College
- Certificate in Medical Office Administration, Williamsburg Technical College
Claims Expertise
Extensive knowledge of commercial, supplemental, and Medicare/Medicaid claims, including CPT4, HCPCS, HCFA 1500, and UB04 claims processing.
Professional Highlights
- Enhanced Premium Discrepancy Resolution: Improved billing accuracy and client satisfaction through detailed, analytical approaches.
- Optimized Service & Billing Support: Strengthened client relationships by streamlining processes and providing exceptional support.
- Strengthened Client Partnerships: Built lasting partnerships with Client Management by promoting team collaboration and empathetic problem-solving.
Accomplishments
2024 Sarah Simmons Award of Excellence
Timeline
Premium Reconciliation Specialist
Chubb/Combined
06.2025 - Current
Supervisor
Aflac Group
10.2023 - 03.2025
Accounting Lead Specialist
Aflac Group
08.2021 - 10.2023
Accounting Specialist IV
Aflac Group
09.2018 - 08.2021
Accounting Specialist II/III
Aflac Group
11.2013 - 09.2018
Customer Service II
Aflac Group
09.2012 - 11.2013
Member Service Representative
America’s 1st Choice
11.2010 - 09.2012
Medical Collections Specialist
Recruiting Solutions / VBO
04.2009 - 06.2010
Claims Associate I, II, III / Business Analyst
Blue Cross Blue Shield / Tricare
06.1996 - 10.2007
Bachelor of Science - Business Administration Management
Limestone College
Certificate - Medical Office Administration
Williamsburg Technical College