Experienced insurance claims adjuster interested in becoming a medical coder. Familiar with insurance and medical terminology. Experienced in managing high volume while multi-tasking for efficiency. Possess leadership skills, as well as being a team player.
Familiar with insurance and medical terminology
Studied ICD-10, CPT, and HCPCS
Proficient in Microsoft Office including Excel and Powerpoint
Excellent written and verbal communication skills
Team player with a positive attitude
Able to work under pressure
Quick learner and easily adapts to changes
Auto Liability Claims Adjuster B01/2012 to 12/2016Esurance Insurance CompanyRichardson, TX
Conducted interviews, gathered detailed information and completed field investigations.
Analyzed first reports of loss and underlying file material to determine if a claim was suspect.
Interviewed claimants, medical specialists and employers to determine pertinent claim information.
Reviewed medical records and bills on bodily injury claims to verify injuries treated were accident related and billing was reasonable
Recommended settlement offers and negotiated payment arrangements.
Attended anti-fraud trainings, conferences, client SIU trainings and industry seminars.
Prioritized daily tasks to ensure strict compliance
with Department of Insurance regulations, HIPAA, and the company's best practices
Casualty Claims Adjuster II08/2005 to 08/2009State Farm Insurance CompanyWestlake Village, CA
Similar claims handling responsibilities, but related to Homeowners' policies and claims
Sales Floor Associate and Office Manager12/2003 to 03/2011Maxim's Furniture, Inc.North Hollywood, CA
Managed a team of 3 other salespeople and 4 delivery workers
Negotiated deals with customers with a view of maximizing profitability
Tracked and maintained inventory levels, ordering judiciously to avoid both shortages and overstock
Coordinated schedule of incoming furniture shipments and outgoing deliveries
Administered payroll and maintained the daily accounting records
Assisted with marketing on social media, television, and print
Maintained a part-time work schedule during a 4-year
stint with State Farm, working full-time thereafter
Professional Coder Apprentice (CPC-A) AAPC2017
Bachelor of Arts: Philosophy2003University of California - BerkeleyBerkeley, CA, USA