Samantha Desn
Caballo
Summary
Dynamic Insurance Claims Specialist with a proven track record at MARS Ambulance Medical Service, adept at claims analysis and policy interpretation. Skilled in expediting complex claims and enhancing customer satisfaction through effective communication and problem-solving. Recognized for achieving financial targets while fostering strong relationships within the community.
Overview
14
14
years of professional experience
Work History
Insurance Claims Specialist
MARS Ambulance Medical Service
Paducah, KY
06.2021 - 07.2024
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Followed up with customers on unresolved issues.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Customer Service Representative
Centah
Remote
03.2014 - 02.2021
- Responded to customer requests for products, services, and company information.
- Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
- Educated customers about billing, payment processing and support policies and procedures.
Customer Outreach Coordinator
Oakhurst Medical Center
Conyers, GA
06.2010 - 10.2013
- Developed network relationships with industry professionals to enhance community awareness and promote services.
- Pursued quarterly growth targets through strong leadership, analysis, problem-solving, team building, and coaching.
- Advocated for social and community service programs to increase awareness and funding.
- Developed and implemented training programs for staff.
Education
High School Diploma -
Cairo High School
Cairo, IL05-2007
Skills
- Policy interpretation
- Claims investigation
- Claims analysis
- Appointment scheduling
- Multi-tasking
- Insurance terminology
- Policy modification
Timeline
Insurance Claims Specialist
MARS Ambulance Medical Service
06.2021 - 07.2024
Customer Service Representative
Centah
03.2014 - 02.2021
Customer Outreach Coordinator
Oakhurst Medical Center
06.2010 - 10.2013
High School Diploma -
Cairo High School