Summary
Overview
Work History
Education
Skills
Timeline
Generic

Caroline Constantino

Cicero

Summary

Dedicated professional with extensive experience in customer service and claims processing. Proven ability to handle high volumes of claims efficiently while providing excellent telephonic support. Committed to training new staff and maintaining high standards of service.

Overview

30
30
years of professional experience

Work History

Claims Adjuster/Customer Service Representative

Central States Joint Board
Hillside, IL
07.2004 - 08.2020

Responsible for processing medical claims on a production rate of 25 claims per hour with excellent quality. Provide telephonic support for customers calling with general questions regarding eligibility, benefits, referral process, physicians/providers and members. Answers calls from the members and providers with a speed to answer rate of 2.35 seconds with no abandon rate. Responsible for training of all new Customer Service Representatives in a timely manner.

Administrative Assistant

Pilsen Wellness Center
Chicago, IL
11.1990 - 06.2003

Composed and typed routine letters, memoranda's, prepared a variety of reports, minutes of meetings, scientific or technical material, numerical data, charts and forms. Received and screened all visitors and telephone calls, took messages, scheduled appointments for professionals and or management. Sorted, opened and distributed incoming mail to the staff and associates incoming correspondence files or related materials needed for meetings.

Education

High School Diploma -

St. Ann's High School
Chicago, IL
06-1979

Skills

    9 years of experience processing medical and dental claims for several accounts with various benefit levels and plan provisions Above average knowledge of state and federal laws as it applies to claims administration Medical terminology, Medicare, Medicaid, ICD-9, CPT-4 Coding, HMO, PPO, POS, Capitated electronic claims, COB, and 10-key by touch

Timeline

Claims Adjuster/Customer Service Representative

Central States Joint Board
07.2004 - 08.2020

Administrative Assistant

Pilsen Wellness Center
11.1990 - 06.2003

High School Diploma -

St. Ann's High School
Caroline Constantino