Theresa Graham
Lake City
Summary
Diligent and detail-oriented professional with a proven track record in claims processing and customer service, notably with Blue Cross And Blue Shield Of South Carolina. Excelled in accuracy and precision, enhancing account management through effective insurance verification and transactions reconciliation. Quick to adapt and skilled in communication, significantly improved claims resolution efficiency.
Overview
9
9
years of professional experience
Work History
Claims Processor
Blue Cross And Blue Shield Of South Carolina
09.2020 - Current
- Accurately capturing the date/information necessary for processing and communicating extensively with members and providers about adjustments to resolve claims errors.
- Process professional claims within the call center environment. Research and review assigned claims by navigating multiple computer systems and platforms
Customer Service Representative
Assurant
03.2017 - 09.2020
- Receive inbound calls to discuss mortgage insurance. Process payments for customers homeowners insurance to different insurance carriers
- Reach out to insurance companies to obtain policy information to update customers accounts to show policy as being current and active
- Discuss if payment for insurance has been issued to insurance company
Customer Service Advocate
Kelly Services
05.2016 - 03.2017
Education
High School Diploma -
Lake City High School
Lake City, SC06-2000
Skills
- Claims review
- Accuracy and precision
- Transactions reconciliation
- Claims
- Account management
- Quick learner
- Insurance verification
Timeline
Claims Processor
Blue Cross And Blue Shield Of South Carolina
09.2020 - Current
Customer Service Representative
Assurant
03.2017 - 09.2020
Customer Service Advocate
Kelly Services
05.2016 - 03.2017
High School Diploma -
Lake City High School
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