LISAJACKSON021615resume
Lisa Jackson
Proactive, performance-driven professional with 15+ years of experience providing customer support in busy call center environments for healthcare and financial industry employers. Polished, professional customer service rep offering: An unwavering commitment to customer service, with the ability to build productive relationships, resolve complex issues and win customer loyalty. Listen attentively, solve problems creatively, and use tact and diplomacy to find common ground and achieve win-win outcomes. Recognized strengths in account management, member/provider issue resolution and trouble shooting, rectifying escalated incidents. Ability to manage several projects while prioritizing tasks of high importance. Resolve client inquiries in a timely and efficient m
Areas of Expertise
Client Relations
Customer Service
Health Claims
Staff Training
Account Management
Collections
Payroll
Quality Assurance
Auditing
PROFESSIONAL EXPERIENCE
Magellan Health Services(NJ) 2010-2014
Senior Claims Representative
Claims Rep II- Keys, processed and/or adjusted health claims in accordance with claims policies and procedures. Works without significant guidance w/ thorough understanding of multiple products (Medicare claims processing in an HMO setting).
Primary duties may included, but are not limited to:
Managed very high volume of incoming calls daily and all complex and escalated issues.
Understood application of benefit contracts, pricing, processing, policies, procedures, coordination of benefits, & healthcare terminology.
Good working knowledge of claims and products, including the grievance and/or re-consideration process.
Reviewed analyzed and processed claims/submit necessary adjustments when needed.
Magellan Health Services(NJ) 2004-2010
Senior Customer Service Team Lead/Subject Matter Expert
Reserved Backup Supervisor – lead as alternate for supervisor when
Proactive, performance-driven professional with 15+ years of experience providing customer support in busy call center environments for healthcare and financial industry employers. Polished, professional customer service rep offering: An unwavering commitment to customer service, with the ability to build productive relationships, resolve complex issues and win customer loyalty. Listen attentively, solve problems creatively, and use tact and diplomacy to find common ground and achieve win-win outcomes. Recognized strengths in account management, member/provider issue resolution and trouble shooting, rectifying escalated incidents. Ability to manage several projects while prioritizing tasks of high importance. Resolve client inquiries in a timely and efficient m
Areas of Expertise
Client Relations
Customer Service
Health Claims
Staff Training
Account Management
Collections
Payroll
Quality Assurance
Auditing
PROFESSIONAL EXPERIENCE
Magellan Health Services(NJ) 2010-2014
Senior Claims Representative
Claims Rep II- Keys, processed and/or adjusted health claims in accordance with claims policies and procedures. Works without significant guidance w/ thorough understanding of multiple products (Medicare claims processing in an HMO setting).
Primary duties may included, but are not limited to:
Managed very high volume of incoming calls daily and all complex and escalated issues.
Understood application of benefit contracts, pricing, processing, policies, procedures, coordination of benefits, & healthcare terminology.
Good working knowledge of claims and products, including the grievance and/or re-consideration process.
Reviewed analyzed and processed claims/submit necessary adjustments when needed.
Magellan Health Services(NJ) 2004-2010
Senior Customer Service Team Lead/Subject Matter Expert
Reserved Backup Supervisor – lead as alternate for supervisor when
References: AVAILABLE UPON REQUEST