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Claim Specialist

Location:
Conyers, GA
Posted:
September 19, 2024

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Resume:

CarolynRudy

****Highway**SEAptA-***υConyers,GA***13υ(470)651-1640υcdmccla88@gmail.com

SkillsSummary

u Phlebotomist

u Specimenprocessing

u Dataentry

u ResearchStudyprotocols

u BNP,Accuchecks

u NautilusandCR-Assist

trained,Cerner,

u SACreviews

u ComputerSavvy

u Chart

maintenance

u ARUP,Quest

shippingand

receiving

u Clinicalduties

u Vitalsigns

u Patienteducation

u Equipmentmaintenance

u Transcribedoctor’sorders

u CitiCertified

ProfessionalExperience

2024-stillemployed ClaimSpecialist/Injury StateFarms Investigating,evaluating,negotiating,andsettlingautoclaimsinanassignedareatoincludeverificationofcoverage, legalliabilityandextentofdamagetopersonsandproperty,whichmayrequirecontactbytelephone,correspondence, inperson,orvariouselectronicmediaandprovidingexceptionalcustomerservice.Analyzecomplexclaimsanduse theirproblem-solvingskillstofindthebestsolution.I managed claimsfromstarttofinishandensuredthatcustomers receivedaccurateandtimelypayments.I’mhighlyorganizedanddetail-oriented,andhaveexcellentcustomerservice skills.Iworkindependentlyandadapttochangingcircumstancesinatimelymanner.Mostimportantlydeliveringa remarkablecustomerexperiencethroughhandlingclaimsinvolvinginjury 2021-2023 PatientCareTechnician PiedmontHealthcare Myprimaryfocusistopromoteapositivepatientexperiencebypartneringwiththepatient,familyandotherhealth careproviderstoprovideexcellenceincustomerserviceandassistancewithdailylivingactivities.Assistedothers healthcareproviderswithsafe,ageappropriateandculturallyawarecarebyperformingbasicpatientcarefunctions; i.e.ADLs,ambulation,vitalsigns,approvedadvancedtechnicalprocedures;i.e.phlebotomy,simpletreatments, dressingchanges,oralsuctioning,anddiscontinuingFoleycatheters;transportingsupplies/equipment/patient medications.Performedclericalfunctionsincludingcomputerorderentry,retrievalofdata,maintainingunitsupplies, transportingsupplies/equipment/patientmedications,preparingandmaintainingpatientcharts,providingcustomer serviceandactingasthecentralcommunicationsourceonthenursingunitandotheractivitiesasnecessary. 2008–2021 ResearchLaboratorySupervisorCoreOPS EmoryUniversity Processedlaboratoryspecimens(blood,urine,andtissue),usingacomputerizedtrackingsystemfordataentry,storage ofprocessedsamples,andmonitoringproperoperationsoffreezers.AssistedPrincipalinvestigators,researchnurses andcoordinatorsindesigningresearchlaboratoryprotocols.Performawidevarietyofdefinedresearchandlaboratory testsaccordingtoprescribedprotocolandassignedschedule..Maintainandcleanalllaboratoryequipmentaccording tomanufacturer’sguidelinesandEmorypolicyandprocedures.Disposeofhazardouschemicalsinthepropermanner. Provideinputintothedevelopmentofthedepartmentgoalsandobjectives.Demonstratedexperienceinusingand maintaininglaboratoryequipment,includingbutnotlimitedtopipettes,centrifuges,incubators,balances, spectrophotometers.RespondtoalarmsaccordingtoEmorypolicy.Monitoredtheappropriatefunctioningofall laboratoryequipmentsuchasfreezer,centrifuge,andcomputersoftwarefordailylaboratoryoperations. 2007-2008 LabAssistant KaiserPermanente

Greetedcustomersincourteousmanner.EnsuredallfieldphlebotomyandPSCspecimensarecollectedaccuratelyand ontime.Collectsbloodorurinespecimensaccordingtoestablishedprocedures.Label,centrifuge,split,andfreeze specimensasrequiredbytestorder.Packblood,urineandtissuefortransporttooff-sitecenters.Maintainedrequired recordanddocumentation.Callclientstoconfirmhandwrittenorders,verifytest(s)ordered,obtainaccuratebilling information,i.e.diagnosiscodes,UPINinformation,etc.DemonstratedKaiser’sorganizationalcommitments. Performedbasicclericalduties,i.e.filing,faxing. Performedrequiredelectronicdataentry. 1995-2007 PatientCareTechnician ShandsofJacksonville Assistedwithvitalsigns,assistedstaffnursewithinitialassessmentofpatientsuponadmission.Performed therapeutictreatmentsuchasrangeofmotionandwhirlpoolbaths.Safelytransferpatientstobedsandinto chairsutilizingHoyerequipment.Ensuredproperpersonalhygieneandgroomingofpatients;assistedwith feedings.Assistwithproperuseofequipmentsuchaswheelchairs,braces,splinters,andotherdevices.Foley catheterinsertionandremoval.PerformedphlebotomyskillandIntravenouscatheter(IV)insertion.Servedas theSeniorPreceptorfortheMed-Surgunit.

Education

AmericanPublicUniversity–WestVirginia

AssociateinPublicHealth,2017

AdvancedCareerInstitute–Jacksonville,FL

MedicalAssistant,2007

TracyAdultSchool–Tracy,CA

CertifiedNursingAssistant,1993



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