claims assistant resume example with 6+ years of experience
JessicaClaire
, , 100 Montgomery St. 10th Floor(555) 432-1000, resumesample@example.com
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Flexible hard worker ready to learn and contribute to team success.
Skills
Decision Making
Time Management
Policy Knowledge
Problem-Solving
Schedule and Calendar Management
Spreadsheet Development
Creative Thinking
Team Collaboration
Microsoft Office
Materials Organization
Attention to Detail
Customer Service
Inventory Control
Verbal and Written Communication
Schedule Coordination
Documentation Skills
Experience
01/2022 to CurrentClaims AssistantCity Of Jacksonville, Fl | Jacksonville, FL,
Investigate and evaluate contested medical-only claims and handle indemnity cases under close supervision
Summarize all correspondence and medical records in claim log notes as well as file documentation in the appropriate claim
Return provider and claimant calls
Provide technical and clerical claims support to designated clients, as requested
Received, distribute and process bill to include additional incoming mail
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process and other duties, as assigned.
Created case files, professional correspondence and claims notices.
Developed and updated spreadsheets in Excel to track claims information.
Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
Organized information by using spreadsheets, databases or word processing applications.
05/2020 to 08/2021CAC/Deer's ClerkWest Pharmaceutical Services | Tempe, AZ,
Perform all functions required to issue government official ID cards
Take appointments via telephone and email request while managing appointment scheduler
Manage accountability and control the issuance of all government official and military ID cards and maintain count to ensure that there are no interruptions in the issuance of ID cards
Assist customers; provide advice on eligibility requirements, and process applications to determine eligibility
Keep records of documentation, update customers official government records and fix any discrepancies made
Provide customer service by emailing, chatting and phone.
Established, maintained and updated employee files.
Administered benefits open enrollment by informing employees of enrollment period dates and answering questions.
Changed employee information such as address and alerted payroll staff.
Supported office clerical functions using word processing and other software, email and office machines.
08/2015 to 06/2019Logistic CoordinatorUS ARMY | City, STATE,
Stock Clerks- Stockroom, Warehouse, or Storage Yard, Order parts to make sure we have confidential and mission essential parts on hand
Supervised and, managed inventory of a trailer with over 10 million dollars' worth of parts
Input updated data on all equipment and parts
Picked up, processed and issued out needed parts daily from the warehouse
Sent daily reports of parts ordered, money spent, inspections, inventory of parts on hand, man-hours to higher leadership
Kept tabs on all coming in or going out of products
Notified staff of inventory levels and pickup scheduled
Decided transportation methods based on size, cost, and when items are needed
Kept clients posted on the status of their orders
Communicate with departmental leaders about daily activities
Trained other logicians how to properly and efficiently do their job
Updated data and paperwork daily
Made work orders for damaged equipment, vehicles, and generators to fixed
Supervise weekly inspections vehicles with operators and mechanics to make sure that is being inspected the proper way
Dispatched information to service providers to schedule freight movement.
Managed paperwork and necessary information required for client shipments.
Maintained and updated systems to drive communication with internal and external customers.
Coordinated import and export operations, adhering to tight schedules and deadlines.
Exceeded specific team goals, partnering with staff to share and implement best practices.
Automated office operations, managed client correspondence and supplied record tracking and data communication services.
Education and Training
Expected in 08/2023 to to Associate of Applied Science | Logistics And Global Supply Chain ManagementHouston Community College, Houston, TXGPA:
Accomplishments
Consistently maintained high customer satisfaction ratings.
Recognized as Employee of the cycle for outstanding performance and team contributions.
Led team to achieve high evaluations earning recognition from upper management and promotions.
Created highly effective new program that significantly impacted efficiency and improved operations.
Helped development quality assurances that lead to an increase of 17% in efficiency
Consistently performed at 15% of quota for 3 years.
Promoted team building training and employee involvement, increased productivity by 20%
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