Merlenna Allen
Nassau
Summary
Diligent Jr. Claim Adjudicator skilled in evaluating and processing claims with accuracy, ensuring compliance with policies and regulations. Demonstrated ability in resolving lower level cases and providing excellent customer service.
Overview
14
14
years of professional experience
Work History
Jr. Claims Adjudicator
BAF Financial
07.2021 - Current
- Scanning and logging of incoming claims.
- Expedited payment disbursements for members & providers.
- Adjudication of lower level claims.
- Senior telephone verifier of benefits.
- Email inquires/customer service assistance.
- Communicated effectively with clients regarding claim status and required documentation.
- Mentored junior team members on verification of benefits.
Customer Service Representative
Cash n Go/BAF Financial
01.2020 - 01.2021
- Customer Relations
- Processed Bills, Money Transfers, Airline Tickets, Etc
- Completed and Filed Cashier & Branch EOD's
Cashier
BTC Franchise/Cash n Go Franchise
01.2014 - 01.2019
- Sales and Customer Service Representative
- Customer queries and complaints
- Processed Bill Payments
- Processed MoneyGram Transactions
- Book Airline Tickets
- Complete End of Day Report
Customer Service Representative
The Bahamas Institute of Financial Services
01.2012 - 01.2013
- Assisted in the accounts department.
- Assisted in the Information Technology (IT) department.
- Management of various customer files.
Education
Certified Professional Coder -
The American Academy of Professional Coders
Nassau, Bahamas10-2025
Banking Certificate Program -
The Bahamas Institute of Financial Services
Nassau, Bahamas01.2014
High School Diploma Certificate -
C. C. Sweeting Senior High School
Nassau, Bahamas01.2009
Mathematics and English Language
C. H, Reeves Junior High School
Nassau, Bahamas01.2006
Skills
- Proficient in customer support
- Detail-oriented approach
- Collaborative team member
- Time management
- Decision-making skills
References
Available Upon Request.
Knowledge
- Typing skills - speed of 25 words per minute.
- Customer Relations Skills.
- Experienced in Microsoft Word, Excel and PowerPoint.
Timeline
Jr. Claims Adjudicator
BAF Financial
07.2021 - Current
Customer Service Representative
Cash n Go/BAF Financial
01.2020 - 01.2021
Cashier
BTC Franchise/Cash n Go Franchise
01.2014 - 01.2019
Customer Service Representative
The Bahamas Institute of Financial Services
01.2012 - 01.2013
Certified Professional Coder -
The American Academy of Professional Coders
Banking Certificate Program -
The Bahamas Institute of Financial Services
High School Diploma Certificate -
C. C. Sweeting Senior High School
Mathematics and English Language
C. H, Reeves Junior High School
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