Josie ThaGreat
@josiethagreat
Experienced customer service and administrative professional with strong claims expertise.
What I'm looking for
I am an administrative and customer service professional with eleven years of experience supporting front-desk operations, claims processing, and customer-facing roles. I consistently deliver accurate information, resolve complex issues, and manage priorities across high-volume workloads.
My background includes claims analysis, customer care, quality assistance in manufacturing, and contract customer service for major providers. I bring advanced proficiency in Microsoft Office and Adobe suites, intermediate experience with SharePoint and multiple healthcare and accounting systems, and a proven record of handling confidential information with discretion.
I am organized, detail-oriented, and focused on improving processes and customer outcomes. I prioritize timely resolution of claims and inquiries, effective communication with stakeholders, and reliable documentation to support operational goals.
Experience
Work history, roles, and key accomplishments
Claims Analyst
Para-Revenue
Jan 2022 - Present (3 years 10 months)
Manage an extensive portfolio of medical claims by analyzing documentation (UB04, EOBs), writing appeals to overcome denials, and resolving claim issues while ensuring privacy compliance.
Customer Care Representative
Anthem
Apr 2021 - Sep 2021 (5 months)
Handled inbound member calls about medical coverage, provided accurate responses, and navigated multiple systems for research and troubleshooting while maintaining confidentiality.
Received and managed monitored inbound calls about Aflac products, resolved policy-holder inquiries, and used company systems to research and document case outcomes.
Quality Assistant
Goldens' Foundry and Machine Company
May 2012 - Jun 2014 (2 years 1 month)
Assisted Quality Manager with customer quality concerns, prepared PPAP documentation, maintained customer/vendor files and logs, and updated production and NJSU status reports to support manufacturing quality control.
Education
Degrees, certifications, and relevant coursework
Auburn University
Sociology
1999 - 2005
Completed some college coursework in Sociology at Auburn University between 1999 and 2005; did not obtain a degree.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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