Ashante Ford
Toronto,ON
Summary
Experienced OTL licensed professional with exceptional communication and data entry skills with a results-driven nature. Maximizing customer satisfaction and exceeding business objectives with an organized approach and strong multitasking abilities.
Overview
5
5
years of professional experience
Work History
Claims Administrator
MSH International
06.2024 - Current
- Ensured timely claim payments by monitoring deadlines and following up on outstanding documents.
- Handled large-volume claim resolutions, coordinating closely with adjusters, medical personnel and other stakeholders involved in the process.
- Opened a minimum of 20 claims per day for adjudication while maintaining attention to detail and accuracy.
- Maintained confidentiality of sensitive customer information by adhering to strict privacy guidelines.
- Managed invoicing and payment processing operations for international claims.
- Examined claims forms and other records to determine insurance coverage.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Accident Benefits Adjuster
Intact Insurance
02.2023 - 10.2023
- Managed a caseload of 90+ accident benefits claims in an efficient manner while still providing a quality claims experience for each individual
- Reviewed and documented sensitive medical examinations, police reports, clinical notes and treatments plans in order to justify and/or clarify a claim
- Generated reports on medical claims processing activities and results.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Communicated with policy holders, claimants, lawyers and other third-party health practitioners in order to proactively move 10 claims to closure per month.
- Processed invoices from medical clinics for services rendered by claimants
- Maintained knowledge of specified benefits, claims principles, medical terminology and procedures and FSRA regulations.
Sales and Customer Service Insurance Advisor
Intact Insurance
01.2021 - 01.2022
- Evaluate prospective clients to determine insurance needs based on individual circumstances using rapport building techniques
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns which resulted in getting a 80.9% client experience rating compared to the national average of 77.6%
- Upheld regulated FSRA mandates and procedures as well as company guidelines to maintain status of OTL license
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Assists with different Intact subsidiaries (Belairdirect,Jhonson, Insurance) by quickly learning new system procedures and changes to provide all clients with a seamless experience.
Clerical Administrator
Brampton Civic Hospital
01.2021 - 08.2021
- Provided quality clerical support through data entry, document management, email correspondence and overseeing operation of office equipment
- Answered patient inquiries and scheduled vaccination appointments via phone and email
- Performed CRM data entry for patient files on Salesforce and Covaxon while maintaining hospital policy and customer privacy
- Checked in patients in person at Brampton Civic vaccination clinic
- Performed other administrative duties such as organizing and filing paperwork, sign in forms and other sensitive documents
- Made prompt changes and updates to vaccine appointment schedules between 4 clinics.
Medical Receptionist
Laserbody M.D
05.2019 - 11.2020
- Used computerized data management systems to organize immense datasets and coordinate details for large patient bases
- Dealt with complaints and practiced issue resolution with existing customers to help rebuild client trust and prevent the loss of key accounts
- Answered customer questions/inquires on the phone and through email daily
- Managed master calendar and scheduled appointments for all GTA locations based on optimal patient loads and clinician availability
- Helped patients complete necessary medical forms and documentation
- Transcribed phone messages and relayed to appropriate personnel
- Maintained current and accurate medical records for patients.
Education
Advertising and Marketing Communications
Humber College
2019
Skills
- 5 years of customer service experience
- Prioritization and Time Management
- High level verbal and written communication
- Claims Processing
- Deadline-oriented
- Teamwork and Collaboration
- Attention to Detail
- Multitasking and Organization
Timeline
Claims Administrator
MSH International
06.2024 - Current
Accident Benefits Adjuster
Intact Insurance
02.2023 - 10.2023
Sales and Customer Service Insurance Advisor
Intact Insurance
01.2021 - 01.2022
Clerical Administrator
Brampton Civic Hospital
01.2021 - 08.2021
Medical Receptionist
Laserbody M.D
05.2019 - 11.2020
Advertising and Marketing Communications
Humber College
Similar Profiles
PENGFEI ZHANGPENGFEI ZHANG
Intake Specialist at MSH InternationalIntake Specialist at MSH International
ATHANASUS EBOB-ETTA NSOATHANASUS EBOB-ETTA NSO
PRECERTIFICATION AGENT at MSH INTERNATIONALPRECERTIFICATION AGENT at MSH INTERNATIONAL
Mary Ann Muyano, CPAMary Ann Muyano, CPA
Supervisor - Technical Accountant at MSH InternationalSupervisor - Technical Accountant at MSH International