At BLUECROSS BLUESHIELD OF SOUTH CAROLINA, I performed quality control audits to evaluate the accuracy and effectiveness of departmental operations. I identified problems, analyzed causes, and recommended improvements.
As an Appeals & Quality Specialist, I performed non-medical reviews and processed redetermination letters, prepared unit reports, and gathered documentation for legal inquiries and administrative requests.
Most recently, I worked as a Behavioral Health Customer Service Advocate through Kelly Services, responding to customer inquiries and processing claims adjustments. I also assisted with process improvements and training new employees.
