Wendi Duarte
@wendiduarte
Experienced administration and claims professional driving efficiency, customer service, and process improvement.
What I'm looking for
I am an experienced administrative and claims professional with a consistent track record of improving efficiency, increasing productivity, and delivering superior customer service in fast-paced environments.
In my current role as an LTD Senior Claims Examiner at Lincoln Financial, I met and exceeded metrics, created and implemented action plans for timely claim decisions, and served as primary contact for claims from setup through determination. I have hands-on knowledge of vocational services, settlements, SIU resources, and ASO team processes for multiple customers.
Previously, I led patient service operations at Wentworth-Douglass Hospital as a Lead Patient Service Representative and CMAA Certified Medical Administrative Assistant, acting as a preceptor, super user for NextGen and Epic, and liaison for service recovery while participating in Operation Excellence and patient experience initiatives.
My background also includes education and long-term office management and sales leadership roles where I recruited and developed staff, managed finances and audits, and implemented systems that improved workflow and revenue. I am goal-oriented, process-focused, and committed to contributing measurable improvements to organizational performance.
Experience
Work history, roles, and key accomplishments
LTD Senior Claims Examiner
Lincoln Financial
Feb 2022 - Present (3 years 8 months)
Manage LTD claims from intake to determination, implemented action plans to meet metrics and improve decision timeliness, and recommended process improvements; recipient of REACH award for exceptional customer service.
Patient Service Representative Lead
Wentworth Douglass Hospital
Jun 2019 - Feb 2022 (2 years 8 months)
Promoted to Lead after certification; precepted and trained new staff, served as liaison for service recovery, and acted as super user for NextGen and Epic while managing insurance verifications and end-of-day reconciliations.
Patient Service Representative
Wentworth Douglass Hospital
Feb 2011 - Jun 2019 (8 years 4 months)
Handled patient check-in/check-out, prior authorizations and referrals, supported three physicians administratively, and trained front-desk staff while maintaining HIPAA compliance.
Teacher, Licensed Elementary
Wentworth Douglass Hospital
Oct 2005 - Feb 2011 (5 years 4 months)
Certified K–5 educator who supervised assistant teachers, developed hands-on curriculum aligned to state standards, and conducted weekly staff meetings to manage curriculum and evaluations.
Lead Teacher - Pre-K
Discovery Child Enrichment Center
Sep 2003 - Sep 2005 (2 years)
Led Pre-K program, trained and scheduled staff of six, planned age-appropriate curriculum, and documented student progress for evaluations.
Office Manager
Middlesex Automotive Service Center
Apr 1992 - Jun 2003 (11 years 2 months)
Managed office operations including inventory control, account balancing, parts ordering and customer service to support shop operations.
Audit Director of Sales & Marketing
Days Inns of America
Oct 1987 - Apr 1992 (4 years 6 months)
Managed 27 staff across front office, banquet and reservations for a 200-room hotel, oversaw night audit and reconciliations, recruited and trained staff, and exceeded revenue goals over five years.
Sales Manager
Ramada Hotels
Aug 1982 - Apr 1985 (2 years 8 months)
Implemented systems to track bookings, improved communications and sales volume, trained reservation staff, and managed billing for hotel sales.
Education
Degrees, certifications, and relevant coursework
University of Massachusetts Amherst
Bachelor of Arts, Business Management
Activities and societies: Additional coursework at Granite State College and California College of Science.
Completed a Bachelor of Arts in Business Management with coursework in finance, accounting, marketing, and management.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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