Chara Reese

Experience

• 

  State Farm Insurance

  Feb 2015 - Jul 2019

  Total Loss Auto Claims Adjuster

  Handled Total Loss claims process from beginning to end.Utilized the Enterprise Claims System (ECS) ADD123, and MVR to obtain data for motor vehiclereports.Updated information in the claim regarding estimates, vehicle evaluations and fee reports.Made title branding decisions based on damages, jurisdictions and SDMU guidelines.Set up rentals, and issued payment to insureds, claimants, lienholders, auto body shops and serviceproviders.

• 

  State Farm Insurance Inc

  May 2015 - Feb 2017

  Subrogation Payments Associate

  Posted check information to appropriate claims for Subrogation paymentsCalculated and consolidated checks with balances dueReconciled checks with posted items for payment

• 

  SelectQuote Senior Insurance Services

  Sept 2019 - Sept 2021

  Health Insurance Agent

  Select Quote-RemoteInbound calls from Medicare recipients regarding questions about plans, doctors, prescriptions,coverages and Medicare status.Communicate with agent to successfully meet the needs of the recipient for OEP, AEP ans SEP.Enroll Medicare recipients in their chosen plans and confirm acknowledgement of benefits andcoverages.Licensed in several states including NY, IL and AL. I am certified for Humana, WellCare, Cigna, andAetna.

• 

  EXL Services Ltd

  Jul 2021 - Jan 2022

  Claims Specialist

  Entered data regarding potential Subrogation claims.Made calls to insured for claim information and details.Made decisions regarding validity of subrogation claims

• 

  Behavioral Health Systems

  Apr 2022 - Jan 2023

  Claims Analyst

  nput claims data from paper format and transfer into claims system.Work with clinical technicians and care coordinators to successfully approve or deny mental health andsubstance abuse claims.Manage and reconcile all clients claims working within specific time frames to complete each file.Effectively adjudicate and coordinate each claim filed by client.Handle all payments and reimbursements for clients in a timely manner

• 

  First Coast Service Options, Inc.

  Jan 2023 - now

  Credentialing Coordinator

  Responsible for credentialing providers for Medicare applications.Responsible for adverse event and complaint monitoring inclusive of regulatory reporting.Responsible for updating correct credentials and certification.Contact providers to confirm missing or inaccurate information.Familiar with CMS Guidelines and timeframes and PECOS applications.