LaShell Dandakoye
Indianapolis
Summary
Dynamic professional with extensive experience as a Claims Coordinator at Long Term Care Group, excelling in eligibility assessments and effective communication. Proven expertise in finance and accounting, coupled with strong problem-solving skills, ensures timely and accurate claims processing. Recognized for meticulous attention to detail and a commitment to quality in all financial reporting.
Overview
29
29
years of professional experience
Work History
Claims Coordinator
Long Term Care Group
04.2005 - Current
- Assess claimant eligibility by reviewing medical records from all current providers and conducting phone assessments with the claimant or legal representative. In the event of noted inconsistencies in the claimant eligibility, coordinate a benefit eligibility assessment to make a final determination.
- Effectively communicate, verbal and written, all aspects of the claim benefit determination process.
- Assist claimants with modifications to their current care plan, including changes in care needs as well as changes in provider.
- Monitor daily, weekly and monthly reports to ensure claims are handled timely and appropriately.
- Attend case conferences, internally and with the client, to present claims recommendations.
- Meet quality and production metrics as established and communicated by the department.
- In conjunction with plan language upon initial assessment and ongoing recertification, determine legitimacy and eligibility of service providers by requesting and reviewing provider licensing credentials, state-specific regulations, internet searches and phone assessments with the servicing provider.
Church Treasurer
Greater Shepherd Baptist Church
Indianapolis
08.2016 - 10.2024
- Recorded and collected offerings and tithes after every Sunday service.
- Monitored funds in church bank account to ensure accuracy.
- Deposited funds into church bank account regularly.
- Verified cash requests and approved disbursement cheques.
- Presented financial reports for auditing to ministers and independent auditors.
- Created annual financial calendar and budget for board presentation.
- Reconciled bank statements with financial records to identify discrepancies.
- Reported all financial discrepancies and theft issues to board of ministers.
Call Center Customer Service Representative
Hoosier Healthwise Program
09.2001 - 04.2005
- Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
- Analyzes problems and provides information/solutions.
- Educate members on the services they’re eligible to receive and ensure members understand the importance of selecting a Primary Medical Provider.
Data Entry Specialist
09.2001 - 09.2002
- Prepares source data for computer entry by compiling and sorting information, establishing entry priorities.
- Enters customer and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format.
- Verifies entered customer and account data by reviewing, correcting, deleting, or reentering data; combining data from both systems when account information is incomplete; purging files to eliminate duplication of data.
Bank Teller
National City Bank
01.1997 - 09.2001
- Recording transactions, which involves logging checks and preparing transaction reports.
- Counting and packaging currency.
- Reconciling cash drawers.
- Opening new accounts and helping with loan applications.
- Exchanging foreign currency.
- Promoting the bank’s products and services.
- Keeping customers’ personal information confidential.
- Communicating with other bank team members.
Education
HS Diploma - Core 40 Diploma
Emmerich Manual High School
Indianapolis, IN05.1993
Skills
- Microsoft Office Suite proficiency
- Effective communication and interpersonal skills
- Filing and organization
- Finance and accounting expertise
- Confidential material handling
- Multi-tasking and problem solving
- Deadline management
- Auditing skills
- Research and analytical abilities
References
References are available on request.
Timeline
Church Treasurer
Greater Shepherd Baptist Church
08.2016 - 10.2024
Claims Coordinator
Long Term Care Group
04.2005 - Current
Call Center Customer Service Representative
Hoosier Healthwise Program
09.2001 - 04.2005
Data Entry Specialist
09.2001 - 09.2002
Bank Teller
National City Bank
01.1997 - 09.2001
HS Diploma - Core 40 Diploma
Emmerich Manual High School