Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sean Bagwell

Norfolk

Summary

Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Driven [Job Title] and customer service professional with insurance agency experience. Decisive negotiator and salesperson. Experienced [Type] Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering [Number] years of experience and willingness to take on any challenge. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate [Type] systems. Effective at operating within [Type] regulations and [Type] department guidelines to manage telephone calls, emails, letters and in-person requests for assistance. Pragmatic Insurance Verification Specialist touting [Number] years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.

Overview

15
15
years of professional experience

Work History

Claims Processor 3

Optima Healthcare Solutions Inc.
01.2018 - Current
  • Utilized specialized software to process incoming claims, enter data and generate reports.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.

Customer Service Representative

WPS Health Solutions
06.2017 - 01.2019
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.

Customer Service Representative

Healthnet Federal Services
06.2016 - 12.2016
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.

Customer Service Representative

QVC
04.2014 - 05.2016
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.

Cashier

Lowe's
02.2009 - 04.2016
  • Greeted customers entering store and responded promptly to customer needs.
  • Built relationships with customers to encourage repeat business.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Worked flexible schedule and extra shifts to meet business needs.

Education

Associate of Applied Science - Human Services

Thomas Nelson Community College
Hampton, VA
05.2015

High School Diploma -

Deep Creek High School
Chesapeake, VA
06.2009

Skills

  • Transactions Reconciliation
  • Claims Review
  • Regulatory Compliance
  • Claims

Timeline

Claims Processor 3

Optima Healthcare Solutions Inc.
01.2018 - Current

Customer Service Representative

WPS Health Solutions
06.2017 - 01.2019

Customer Service Representative

Healthnet Federal Services
06.2016 - 12.2016

Customer Service Representative

QVC
04.2014 - 05.2016

Cashier

Lowe's
02.2009 - 04.2016

Associate of Applied Science - Human Services

Thomas Nelson Community College

High School Diploma -

Deep Creek High School
Sean Bagwell