Krystal Covington
Aguadilla
Summary
Claims professional with deep understanding of claims processing and related procedures. Proven ability to manage high volumes of claims efficiently while maintaining high accuracy. Known for strong team collaboration and adaptability, ensuring seamless workflow and achieving results. Proficient in claims assessment, dispute resolution, and policy interpretation.
Overview
8
8
years of professional experience
Work History
Sr Claim Processor
Infosys
01.2021 - Current
- Prioritized and sorted work orders in database
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Participated in ongoing professional development programs to stay current on industry trends and best practices.
- Implemented new policies and procedures to enhance the overall efficiency of the claims department.
Relationship Advocate
BCU
01.2019 - 01.2020
- Worked effectively with fellow team members to coordinate effective solutions to any question or concern.
- Delivered friendly service and offered expert support in every interaction.
- Managed complex caseloads with diligence, prioritizing tasks to ensure timely resolution.
Telemarketer
CommSense
01.2017 - 01.2019
- Managed a high volume of calls daily while maintaining professionalism and efficiency.
- Answered calls, took messages, and transferred calls to correct individuals.
- Completed daily cold calling and outreach to build sales pipeline.
- Informed current and prospective customers of promotions and new or upgraded products.
Education
Bachelor of Science - Industrial Engineering
Universidad Politécnica De Puerto Rico
Aguadilla, P.R.07-2026
High School Diploma -
Juan Suárez Pelegrina
San Antonio, P.R.01.2015
Skills
- ICD-10 Coding Familiarity
- CPT coding knowledge
- Strong Communication Skills
- HIPAA Compliance Understanding
- Critical thinking abilities
- Analytical Problem Solving
- Claims Processing Expertise
- Attention to Detail
- Time Management
Approvedcourses
- Financial Economics
- Keyboarding
- Data Processing
- Office Suite
- Business Administration
- Electronic Publishing
- Spreadsheets and Database
- Accounting
References
Available if requested.
Personal Qualities
- Interpersonal communication
- Accountability
- Team player
- Reliable
- Bilingual (Spanish/English)
Timeline
Sr Claim Processor
Infosys
01.2021 - Current
Relationship Advocate
BCU
01.2019 - 01.2020
Telemarketer
CommSense
01.2017 - 01.2019
Bachelor of Science - Industrial Engineering
Universidad Politécnica De Puerto Rico
High School Diploma -
Juan Suárez Pelegrina
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