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
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
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
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
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