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KARI A. EMORE
525 Alpha Ave Akron, Oh 44312 (330)310-3469
EDUCATION
Ellet High School, Akron, Ohio
Required Courses, Graduated 1990
FIELD RELATED EXPERIENCE
Bridgestone America’s: Akron, Ohio
Customer Service/Eligibility Representative
November 2000 to Current
Customer Service-Manage approximately 40 calls/day handling eligibility verification, benefits
information, inquiry response, and written correspondence for 30 various plans for internal
customers (active and retired). Analyze and resolve customer and provider issues in a timely
manner; reissue medical ID cards for department; evaluate and resend medical Explanation of
Benefits; set up and answer cases submitted through Human Resources (HR); review and answer
Emails from active employees and retirees; create and control DSC Daily/Monthly Customer
Service Reports in Excel.
Eligibility-Commit 4 hours/day processing New Hire Enrollment Forms, Teammate long-term
disability enrollments, beneficiary changes, and dependent changes. Calculate retro payments for
which teammate is responsible to pay, prepare direct bills, administer and process layoffs, court
orders, and send correspondence to courts and teammates. Maintain strong relationships with HR
Reps from all locations.
Bridgestone/Firestone Information Services: Akron, Ohio
Customer Service Representative
June 2000 to November 2000 (as Innosource Contractor)
Eligibility Verification, Benefits Information, Inquiry Response, Written Correspondence, Plan
Coverage for 7 External Customers and 30 various plans for Internal Customers.
Aetna: Akron, Ohio
Customer Service Representative
July 1998 to June 2000
Insured and Dependent eligibility, CPT coding, ICD9 coding, HFA and UB92 Forms, In and Out
of State Provider Contracts, Fee Schedules and Discount Percentages, Data Entry, Customer
Relations, Rumba, Daily Interaction with Health Plans.
Henley Healthcare – Akron, Ohio
Assistant Team Leader
February 1995 – June 1998
In charge of Pre-certification Approvals, Data Entry, Verification of Benefits,
Customer Relations
OTHER EXPERIENCE
Windows, Word, SAP, Tesseract, Outlook, Excel, Bookkeeping, Medical Terminology
Outstanding Customer Service Seminar, Customer Service Certification Training.
PERSONAL
Strong communication and problem solving skill’s, professional and courteous manner, works well with
others or alone, able to multi task.
References provided upon request

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Resume

  • 1. KARI A. EMORE 525 Alpha Ave Akron, Oh 44312 (330)310-3469 EDUCATION Ellet High School, Akron, Ohio Required Courses, Graduated 1990 FIELD RELATED EXPERIENCE Bridgestone America’s: Akron, Ohio Customer Service/Eligibility Representative November 2000 to Current Customer Service-Manage approximately 40 calls/day handling eligibility verification, benefits information, inquiry response, and written correspondence for 30 various plans for internal customers (active and retired). Analyze and resolve customer and provider issues in a timely manner; reissue medical ID cards for department; evaluate and resend medical Explanation of Benefits; set up and answer cases submitted through Human Resources (HR); review and answer Emails from active employees and retirees; create and control DSC Daily/Monthly Customer Service Reports in Excel. Eligibility-Commit 4 hours/day processing New Hire Enrollment Forms, Teammate long-term disability enrollments, beneficiary changes, and dependent changes. Calculate retro payments for which teammate is responsible to pay, prepare direct bills, administer and process layoffs, court orders, and send correspondence to courts and teammates. Maintain strong relationships with HR Reps from all locations. Bridgestone/Firestone Information Services: Akron, Ohio Customer Service Representative June 2000 to November 2000 (as Innosource Contractor) Eligibility Verification, Benefits Information, Inquiry Response, Written Correspondence, Plan Coverage for 7 External Customers and 30 various plans for Internal Customers. Aetna: Akron, Ohio Customer Service Representative July 1998 to June 2000 Insured and Dependent eligibility, CPT coding, ICD9 coding, HFA and UB92 Forms, In and Out of State Provider Contracts, Fee Schedules and Discount Percentages, Data Entry, Customer Relations, Rumba, Daily Interaction with Health Plans. Henley Healthcare – Akron, Ohio Assistant Team Leader February 1995 – June 1998 In charge of Pre-certification Approvals, Data Entry, Verification of Benefits, Customer Relations OTHER EXPERIENCE Windows, Word, SAP, Tesseract, Outlook, Excel, Bookkeeping, Medical Terminology Outstanding Customer Service Seminar, Customer Service Certification Training.
  • 2. PERSONAL Strong communication and problem solving skill’s, professional and courteous manner, works well with others or alone, able to multi task. References provided upon request