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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary
Performed detailed work with a high degree of accuracy in a high volume environment with a focus toward quality and customer service Organizational, analytical, verbal and written communication skills Service oriented, ability to assess needs, and provide appropriate solutions while meeting the satisfaction of company's expectations Ability to make good sound decisions while working comfortably within a frequently changing environment Prioritize work to meet deadlines and perform effectively as a team player Accepted responsibilities with minimal supervision Proficient in the use of Windows, Word, Excel, and Internet research Knowledge of ICD-9 medical coding and Ohio manual classification system Proficient in Ohio Workers' Compensation law
Highlights
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Accomplishments
Experience
10/2012 to Current
Actuarial Analyst Anthem, Inc. Annandale, VA,
  • Prepared marketing reports that show prospective clients their rate, premium, and claim history Identified potential discount programs for current clients and prospective clients based on industry, company size, rate, and claim history Prepare detailed program reviews showing current clients their premium history, claims management savings, claims costs, and future program eligibility Provide impact analyses to clients to show how claims costs will impact premium as well as advise them the net benefit to contesting a claim Pursued settlements on numerous workers' compensation claims with opposing counsels and injured workers with an end goal of benefiting the employer Manager in training in the Risk Department Marketed prospective clients by helping with a company's individual issues which resulted in numerous companies signing a contract with Spooner, Inc.
08/2010 to 10/2012
Worker's Compensation Claims Control Representative , ,
  • Analyze and process technically complex claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution Communicate timely and professionally, both written and verbally, with clients, counsel, claimants and providers regarding claim developments, including in-depth claim reviews with clients via phone Investigate each claim by running V3 background checks and ISO inquiries on claimants, requesting all previous medical documentation, and coordinating surveillance whenever necessary Prepare files adequately and appropriately for all hearings Compile and provide evidence for suspension of claims, continuance and cancellation of hearings, and subpoenas from the Industrial Commission of Ohio Maintain on-going file management and review for all assigned cases Maintain records, prepares reports, and provide correspondence related to claims control.
05/2007 to 08/2008
Clerical Assistant Saalex Solutions South Plainfield, NJ,
  • Analyzed checks verifying amounts listed in numbers matched written descriptions for accurate.
  • processing in a timely manner.
  • Managed accounts of Cleveland Clinic and Metro Health which entailed being responsible for providing accurate and detailed receipts.
  • Responsible for overseeing and ensuring that documents and checks are processed properly in an expedited manner.
01/2009 to 05/2009
Intern Terracon City, STATE,
  • Assisted with developing photo line-ups.
  • Reviewed pending cases and prepared reports highlighting major points of interest.
  • Observed interviewing processes as well as trained in the process of how finger printing is conducted, including how to respond to various phone dispatches.
  • Worked 24 hours weekly while taking a full class load.
Education
Expected in 4 2010
Bachelor of Arts and Sciences: Psychology
Eastern Michigan University - Ypsilanti, MI
GPA: Graduated with University Honors and Magna Cum Laude GPA: 3.81 Dean's list all 4 years Recipient of Outstanding Academic Achievement Award in Criminology 2010 Member of Eastern Michigan University Psy Chi Honors Psychology Club 2008-2010 Selected as House Governor for Village Residence Hall at Eastern Michigan University in 2007 to motivate and engage forty eight residents in academic, social, and recreational activities to promote a healthy lifestyle and achieve academic success. Recipient of the Eagle Scholarship for Eastern Michigan University in 2006
Psychology Graduated with University Honors and Magna Cum Laude GPA: 3.81 Dean's list all 4 years Recipient of Outstanding Academic Achievement Award in Criminology 2010 Member of Eastern Michigan University Psy Chi Honors Psychology Club 2008-2010 Selected as House Governor for Village Residence Hall at Eastern Michigan University in 2007 to motivate and engage forty eight residents in academic, social, and recreational activities to promote a healthy lifestyle and achieve academic success. Recipient of the Eagle Scholarship for Eastern Michigan University in 2006
Skills
photo, clients, documentation, file management, ISO, marketing, processes, settlements, phone, written

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resume Strength

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Resume Overview

School Attended

  • Eastern Michigan University

Job Titles Held:

  • Actuarial Analyst
  • Worker's Compensation Claims Control Representative
  • Clerical Assistant
  • Intern

Degrees

  • Bachelor of Arts and Sciences

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