Michele StoneMS
Open to opportunities

Michele Stone

@michelestone

Seasoned customer care professional seeking Claims Examiner role.

United States

What I'm looking for

Seeking a Claims Examiner role where I can utilize my skills in customer service, case management, and medical terminology to drive results and provide exceptional service.

As a seasoned customer care professional with 6 years of experience in the insurance industry, I have honed my skills in handling complex issues, navigating insurance databases, and providing detailed benefits and eligibility information. My proven track record of maintaining high customer service metrics and resolving claims-related inquiries effectively has earned me a reputation as a reliable and efficient professional.

In my current role at Optum - United Healthcare, I have demonstrated my ability to document customer interactions comprehensively and resolve complex inquiries by researching multiple databases and collaborating with support teams. Previously, I have worked with Anthem Blue Cross, Medicaid, and California State Long Beach, where I addressed customer inquiries, facilitated communication, and resolved payment discrepancies.

With a strong educational background in Psychology and Child Development, I possess a unique understanding of human behavior and development. I am confident in my ability to bring value to a Claims Examiner role, leveraging my skills in customer service, case management, and medical terminology to drive results.

Experience

Work history, roles, and key accomplishments

CB

Professor Assistant

California State Long Beach

Feb 2017 - May 2017 (3 months)

Assisted with grading papers, maintaining attendance records, and managing research documentation to support academic processes.

Education

Degrees, certifications, and relevant coursework

Michele hasn't added their education

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Tech stack

Software and tools used professionally

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Michele Stone - Member and Provider Service Representative - Anthem Blue Cross | Himalayas