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account service spec pas spec ii contractors resume example with 6+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Background in logging and allocating claims, processing paperwork and updating tracking spreadsheets. Adept at sorting and prioritizing work with excellent judgment and analytical problem-solving abilities. Highly organized with strong communication skills and a disciplined nature.

Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.

Skills
  • Conflict Resolution
  • File and Record Management
  • Claims Processing
  • Active Listening
  • Decision Making
  • Data Entry
  • Customer Service
  • Document Control
  • Account Management Software
Experience
Account Service Spec/PAS Spec II (Contractors), 06/2021 - 11/2022
Bayada Home Health Care Colchester, VT,
  • I have worked as a contractor for Randstad (Aflac Group) for 9 months and as well with Communicorp for 9 months working with transferring information from policy applications to digital copies as well working with insurance agents and their policyholders firsthand and personal with their insurance claims and settlements.
  • Fostered relationships with customers to expand customer base and retain business.
  • Resolved routine and complex issues by performing detailed research.
  • Collaborated with carriers to resolve discrepancies in insurance payments.
  • Documented and tracked customer account details using Aflac’s Software.
  • Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
  • Communicated with other departments to establish action plans and manage open claims to closure.
  • Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
  • Opened, sorted and monitored claims.
  • Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
  • Verified details with policyholders and requested additional information.
  • Reviewed documentation and accounts to gain full picture.
  • Assessed policy coverage and pulled contracts for review.
  • Processed high volumes of bodily injury claims efficiently while working in fast-paced environment.
  • Consulted with field support team, claim manager and other entities to receive support specific to assigned claim.
  • Developed and updated spreadsheets in Excel to track claims information.
  • Verified policy holder data, including age, contact number and physical address.
  • Complied with confidentiality regulations in handling customer information.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Verified patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Updated patient and insurance data and input changes into company's computer system.
  • Modified, updated and processed existing policies and claims to reflect changes in beneficiary, amount of coverage and type of insurance.
  • Corresponded with insurance customers and agents to obtain or relay information on account status changes.
  • Precisely calculated refunds, premiums and adjustments.
  • Handled modification and updating of policies.
  • Collaborated with fellow team members to manage large volume of claims.
  • Assisted new policyholders with processing claims.
  • Verified claim data correctness in preparation for processing.
  • Negotiated and settled claims according to information presented through reports, research and data verification.
  • Obtained necessary information to complete proper evaluation of injury claims.
  • Gathered information from various third parties to determine claim acceptability.
  • Obtained necessary information to complete proper evaluation of injury claims.
Direct Support Professional, 03/2017 - 03/2021
Autism Breakthrough Of Knoxville City, STATE,
  • Analyzed company training methods and adjusted rectify issues, increase efficiency and exceed training goals, resulting in gaining more staff and shifts for other DSP’s (Direct Support Professional) to transition smoothly with after a client
  • Worked to improve and enhance patient lives through effective and compassionate care
  • Updated patient files with current information about vitals, behaviors and other data relevant to supported treatment planning
  • Maintained clean, safe and well-organized patient environment
  • Assisted disabled clients in any way necessary to facilitate independence and well-being
  • Enhanced successful patient outcomes by helping each participate in recreational activities alone or in groups
  • Assisted patients with adjusting to hospital procedures and helped each thrive in highly structured settings
  • Minimized injuries to staff or patients by offering important support or restraint to control patient movements
  • Completed entries in logbooks, journals and care plans to document accurately report patient progress
  • Monitored progress and documented any patient health status changes, keeping healthcare team updated
  • Kept household areas clean and well-stocked, ran errands, managed laundry and completed weekly grocery shopping
  • Entrusted to handle confidential and sensitive situations in professional matter
  • Maintained appropriate filing of personal and professional documentation
  • Helped clients with hygiene-related tasks such as brushing teeth, bathing, grooming and toileting
  • Assisted patients with bathing, grooming, dressing and oral hygiene care both in private residences and facilities
  • Transported children to and from school, activities and appointments
  • Developed rapport to create safe and trusting environment for care
  • Recognized and reported abnormalities and/or changes in patients' health status to case manager
  • Performed household tasks such as laundry, dusting, washing dishes and vacuuming
  • Conferred with management to discuss patient condition and medical care, helping to optimize treatments and enhance outcomes
  • Documented residents’ behavior in terms of mental status, sleeping and eating patterns in medical record books
  • Handled incoming mail, bills and invoices and completed appropriate actions
  • Remained alert to problems or health issues of clients and competently responded
  • Helped clients manage money, pay bills and shop for groceries or personal items
  • Kept patients mentally alert by entertaining, conversing and reading aloud to patients
  • Utilized personal and professional networks to identify, acquire and manage new clients
  • Provided staff coaching, mentoring and consultation to enhance performance and professional development
  • Determined specific needs and provided most appropriate level of services for patient well-being
  • Laundered items changed sheets and made bed to keep patients' bedroom clean
  • Established nutritious meal plans and prepared daily offerings to meet patient dietary needs
  • Identified needs and coordinated plans for travel and out-of-town functions
  • Ran errands for customers, including shopping, and picking up other necessities
  • Assisted patients with personal requirements, including keeping spaces clean and helping with grooming
  • Applied mobility assistance knowledge to safely ambulate patients in different spaces involving varying elevations and obstacles
  • Ensures accurate information is being given by constantly checking manuals and resources.
Crew Member, Crew Trainer, Crew Leader, Manager , 02/2016 - 10/2018
Sonic Drive City, STATE,
  • Met sales targets by encouraging customers to buy extra food items such as drinks, desserts and sides
  • Identified price of goods and calculated bills with optical price scanners, calculators and cash registers
  • Performed all activities visible by customers while roller-skating, comprising serving, food preparation, tray removal and assembly of beverage orders
  • Communicated with management and associates to set and exceed sales and customer satisfaction goals
  • Enhanced guest entertainment by balancing and delivering food and beverage orders while roller skating
  • Verified consistency in food presentation and quality by inspecting all orders prior to delivery
  • Maintained customer service standards with over 800 customers daily
  • Double-checked order accuracy and food quality consistently
  • Welcomed and greeted guests and delivered outstanding customer service
  • Completed company training program in record time
  • Balanced orders on trays weighing over 4lbs and delivered them to cars
  • Provided accurate change and order receipts promptly when processing and completing customers' cash transactions
  • Maintained professionalism while dealing with high order volumes and quality assurance
  • Answered guest questions and promoted special products
  • Took over 300 daily customer orders with 98% accuracy
  • Minimized customer wait times by 20 minutes after starting at this location
  • Memorized orders and maintained 87% accuracy in high-traffic times
  • Operated grills and fryers to prepare delicious, attractive fast-food items, including shakes and fountain drinks items
  • Assisted customers in choosing menu items by providing food complementing information
  • Interpreted over 400 food order slips per shift to prepare food according to customer orders
  • Maintained clean, sanitized and well-organized food preparation zones
  • Checked completed orders for accuracy and bagged meals for easy carrying
  • Performed shift change tasks each day to keep store efficient and neat
  • Organized freezers, refrigerators and storage rooms by receiving, recording and moving food and beverage supplies and products
  • Assisted chef with planning easy but elegant appetizers to spark customer interest
  • Prepared food items to meet recipes, portioning, cooking and waste control guidelines
  • Received food orders from cashiers and cooked items quickly to complete entire order together and serve hot
  • Met production requirements for all aspects of banquet and outlet desserts and breakfast pastries
  • Ordered and received products and supplies to stock kitchen areas
  • Communicated closely with DSP’s to fully understand special orders for customers, including those with food allergies and gluten intolerance
  • Verified proper portion sizes and consistently attained high food quality standards
  • Managed 7 person staff, supervised preparation of produce and meat foods and explained steps for readying specialty items, including shakes, burgers, and coneys food
  • Assisted customers in placing special orders for large-scale events such as weddings and birthday parties
  • Produced over 200 dishes per day and maintained near-perfect customer satisfaction scores
  • Planned promotional menu additions based on seasonal pricing and product availability
  • Trained employees in time management and proper ways to complete job duties
  • Discussed daily work requirements with crew and assigned skills-based tasks to enable completion of work
  • Transported daily work materials to worksite and staged supplies in work area to facilitate timely completion of day's goals
  • Cultivated communications with customer and resolved budgetary and logistics issues to move toward project completion
  • Maintained clean workplace and supervised end-of-day cleanup activities to remove all debris and unnecessary supplies from customer premises
  • Instructed crew members in safe work practices and methods, which reduced overall injuries by 99%
  • Communicated effectively with all stakeholders, including upper management, team members and customers to keep everyone informed.
Education and Training
High School Diploma: , Expected in
-
Central High School - Knoxville, TN
GPA:
Status -
Certified in PCM (Prevention Crisis Management), AED (Automated External Defibrillator) , CPR (Cardiopulmonary Resuscitation) and Basic First Aid.: , Expected in
-
- ,
GPA:
Status -
Activities and Honors
4 years total experience as a DSP (Direct Support Professional). 2 years of management at sonic drive-in and assisting other store locations.

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Resume Overview

School Attended

  • Central High School

Job Titles Held:

  • Account Service Spec/PAS Spec II (Contractors)
  • Direct Support Professional
  • Crew Member, Crew Trainer, Crew Leader, Manager

Degrees

  • High School Diploma
  • Certified in PCM (Prevention Crisis Management), AED (Automated External Defibrillator) , CPR (Cardiopulmonary Resuscitation) and Basic First Aid.

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