LATONYA B.

LOWERY
4730 Palustris Court Charlotte, NC 28269/ 704-201-2333/ ll8dcb8a@westpost.net
PERSONAL PROFILE
* Highly motivated, results-oriented professional with broad experience in healt
h insurance and customer service.
* Strong interpersonal, communication, organizational and problem solving skills
.
* Ability to work independently to drive success as well work in a team environm
ent.
EDUCATION
Central Piedmont Community College, Charlotte, NC, (Dec-2010) - Certificate for
Medical Reimbursement
University of Phoenix, Charlotte, NC, (Mar-2010) - Masters of Business Administr
ation/Healthcare Management
Belmont Abbey College, Belmont, NC, (1996) - Bachelor of Science, Business Admin
istration
PROFESSIONAL EXPERIENCE
Senior Claims Processor/ CIGNA HealthCare, Charlotte, NC - 2002- present
* Respond to complex inquiries from policyholders, providers and others.
* Perform research to respond to inquiries and interpret policy provisions to de
termine most effective response.
* Examine and process paper claims and electronic claims.
* Determine whether to return, pend, deny or pay claims within policies.
* Determine steps necessary for adjudication, follow established departmental po
licies and procedures, operating memos and corporate policies to resolve claims,
and claims issues.
* Settle claims with claimants in accordance with policy provisions.
* Compare claim application or provider statement with policy file and other rec
ords to evaluate completeness and validity of claim.
* Interact with agents and claimants by mail and phone to correct claim form err
ors or omissions and to investigate questionable entries.
* Route claim forms and supporting documentation to various units for final proc
essing.
Co-Business Owner/Three-in-One Cleaning, Charlotte, NC - 2000-2001
* Assisted in the development of overall goals and strategy for the business.
* Involved in planning, cash management, and purchasing inventory.
* Responsible for sales, marketing, human resources, and providing excellent cus
tomer service to customers.
Customer Service Associate/ Prillaman Chemical, Charlotte, NC - 1997-2000
* Received written and verbal customer purchase orders and entered order informa
tion into computer systems.
* Verified stock availability and processed shipment orders.
* Maintained accurate order files and customer records.
* Monitored delivery dates, notified customer of delays, investigated, and resol
ved customer complaints.
* Promoted company's products and services.
Logistics Operator/ Hoechst Celanese, Mt. Holly, NC - 1992-1997
* Responsible for transporting raw materials and finished goods to and from prod
uction plants.
* Responsible for loading and unloading tankers and van trucks.
* Responsible for maintaining daily cycle counts.
COMPUTER SKILLS
* Proficient in MS Excel, Word and PowerPoint