Ro Smith

Resolved an average of 50–70 complex member cases weekly, including billing errors and claim rejections, across Medicare and commercial plans. Led end-to-end research and resolution of escalated claims by coordinating with providers, reducing case turnaround time by 25%. Partnered with clinical and billing teams to clarify coding discrepancies, improving first-pass resolution rates and avoiding re

Provided expert support to Medicare-eligible members by reviewing plan benefits and coverage gaps in line with CMS regulations. Managed a daily average of 60–80 inbound calls, ensuring accurate policy recommendations and detailed CRM documentation. Conducted needs-based consultations to help members enroll in appropriate health plans, reducing re-enrollment issues and coverage disputes.

Developed lesson plans, parent communication routines, and documentation workflows to track developmental milestones. Coordinated field trips, classroom activities, and progress reports. Demonstrated strong planning, time management, and interpersonal communication skills.

Handled inbound calls related to insurance payments, policy changes, and billing issues for auto and home insurance clients. Processed payment adjustments, endorsements, and coverage updates in accordance with company and state guidelines. Supported retention by educating customers on policy features, recommending add-ons, and resolving billing disputes.

Reviewed and processed incoming auto and property claims by assessing documentation, coverage limits, and liability factors. Coordinated with claimants, body shops, and third-party investigators to validate reports and expedite approvals. Applied coding structures and gained insight into the broader claims lifecycle and denial resolution process.

Developed lesson plans, parent communication routines, and documentation workflows to track developmental milestones. Coordinated field trips, classroom activities, and progress reports. Demonstrated strong planning, time management, and interpersonal communication skills.

Took dedicated time to support family development, manage household operations, and engage in personal growth and community activities. Maintained strong multitasking and time management capabilities, now actively re-engaged in professional development.

Completed high school education, providing a foundational academic background.

Attended the University of Central Oklahoma.