Timothy Adams

Seasoned Medical Auditor, Claims Examiner, Claims Processor, Claims Adjustor, Claims Credentialing Auditor, NASM CPT Trainer, and a CES and PES specialist, with more than 12 plus years of experience in the fast-paced industry. Also have experience in customer care and customer care advocacy. With knowledge in entry and mid level roles, such as administrative work, call center, and data and analysis.

Strong with math and numbers. Excellent computer and technology skills. Proven track record of achieving exceptional results in healthcare and the data analyst industry. Fast learner who loves being trained in new things that help broaden skill set and knowledge to achieve success in any company.

Medical Auditor, Claims Examiner/Auditor/Processor/Adjustor and Credentialing Auditor at NTT DATA (2013-07 – Present)

Started as a Claims Examiner, which started out as processing claims and diligently making sure they were done 100% correct. Then after about 4 years, promoted to Claims Auditor which currently is to make sure the examiners processed the claims correctly. This involves research, sometimes digging deeper into the claim ensuring everything is correct.

Also works daily with other auditors to make sure each claim is handled with precision and care in a timely manner. Also works on different reports each day to ensure claims are handled diligently in each different situation, which is a very vital part in knowing what needs to be worked on and how much work there is for the day. This is a work at home/remote position.

Claims Examiner at Blue Cross Blue Shield (2003-02 – 2012-10)

Properly and in a timely manner processed member and patient claims day in and day out. Met and exceeded production and quality goals daily, weekly, monthly and yearly. Worked very well with team each day, ensuring if they needed help with anything to make sure the team reached and exceeded goals everyday. This was a work at home position which ended in Oct 2012 due to a large company layoff and budget cuts.

Repair Specialist/Customer Care Representative/Advocate at Jareds The Galleria of Jewelry (2012-12 – 2013-07)

Position taken after being laid off from Blue Cross Blue Shield. Trained to take in repairs for jewelry each day. Came into the job with no experience but quickly learned within 3 weeks time and was the only one of the seasonal hires that stayed on and was offered a full time position in the repair center.

Worked to ensure that the jewelry was promptly and properly repaired prior to the customer receiving it. Also assisted on the sales floor when asked to assist customers. Served as customer care advocate and answered telephone calls from customers who were in need.

Producer, Singer/Songwriter, Engineer at Self-Employed (2011-07 – 2022-06)

Worked as a songwriter, producer, engineer, and mixer for different clients in and out of state. Many different artists would need a song written, mixed, or just recorded. Produced and used the mechanics involved in the details to achieve the artist's goals.

The statement 'Bring Life To Music' is what was strived to achieve each and every time working with any clients for their success. Worked with Country artists, Gospel Artists, Singer/Songwriter artists, as well as many Christian Contemporary Artists.

High School Diploma in Computer Programming – Bloomingdale High School (1993 – 1997-05)

Some College in Computer Programming/Science – Hillsborough Community College (1997-08 – 1998-08)