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BlueCard-ITS Host Claims Processor Resume Example

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BLUECARD-ITS HOST CLAIMS PROCESSOR
Professional Summary
Customer-oriented claims processor with a background in customer service and medical and life insurance claims. Offers a problem solving mindset in a fast paced environment. 
Work History
BlueCard-ITS Host Claims Processor, 02/2014 to Current
Blue Cross and Blue Shield of Nebraska – Omaha, NE
  • Process professional, institutional, surgery, maternity, ancillary, and member submitted claims.
  • Pay claims in a timely manner after submitting the original claim to the home plan for processing. 
  • Manually price claims that had no profile allowance. 
  • Fast paced work environment including pulling multiple claims from different queues. 
  • Process 100+ medical claims daily. 
  • Meet quality and performance goals monthly. 
Slot Service Specialist, 08/2015 to Current
Ameristar Casino – Council Bluffs, IA
  • Greet guests who need assistance in a timely manner.
  • Solve issues regarding payouts and machine errors.
  • Pay taxable jackpots won by guests playing machines.
Banquet Server, 07/2012 to 10/2013
Caesars Entertainment – Council Bluffs, IA
  • Help in the set up and tear down of banquet events. 
  • Serve plated dinners and buffets at events. 
  • Work concession stands.
Customer Service , 09/2013 to 02/2014
Physicians Mutual Insurance Company – Omaha, NE
  • Answer inbound calls regarding policy holders life insurance policies.
  • Speak with policy beneficiaries on any updates or new information on life insurance claims.
  • Set up new life insurance policies.
  • Updat any policy information for customers.
  • Take and set up payments over the phone for policies. 
Customer Service , 08/2012 to 04/2013
West Asset Management – Omaha, NE
  • Collection services for hospital billing.
  • Set up monthly payments and took one time payments on medical bills. 
  • Add insurance to patient accounts.
  • Send back accounts for appeals. 
  • Solve issues on incorrect billing and payment issues.
  • Inbound and outbound services.
  • Give information on financial assistance services.
Skills

  • Data entry and data analysis
  • Skilled multi-tasker, team player, customer focused 
  • Highly motivated, organized, flexible
  • Advanced oral and written communication skills, computer skills, creative thinker
  • MS Office, Avaya systems
  • IA Licensed Gaming Worker, Title 31 training
  • Skilled in call center operations, multi-line phone operation proficiency
Education
High School Diploma: 2011
Thomas Jefferson High School - Council Bluffs, IA
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Resume Overview

Companies Worked For:

  • Blue Cross and Blue Shield of Nebraska
  • Ameristar Casino
  • Caesars Entertainment
  • Physicians Mutual Insurance Company
  • West Asset Management

School Attended

  • Thomas Jefferson High School

Job Titles Held:

  • BlueCard-ITS Host Claims Processor
  • Slot Service Specialist
  • Banquet Server
  • Customer Service

Degrees

  • High School Diploma : 2011

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