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Claims Assistant Resume Example

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CLAIMS ASSISTANT
Summary
Dedicated and focused Claims Assistant who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority.
Highlights
  • Microsoft Office proficiency
  • Excel spreadsheets
  • Meticulous attention to detail
  • Strong interpersonal skills
  • Workers' compensation knowledge
Experience
Sedgwick CMSDecember 2013 to May 2015Claims Assistant
Ontario, CA
  • Contacted providers to discuss status of re-billing and reimbursement process to ensure account resolution.
  • Updated patient accounts and information on a daily basis.
  • Created databases and spreadsheets to improve inventory management and reporting accuracy.
  • Improved communication efficiency as primary liaison between departments, clients and vendors. 
  • Arrange medical examinations; send physician cover letter with assistance or approval of examiners.
  • Type legal documents such as Answers, Declaration of Readiness to Proceed, Compromise and Release, and other related forms and memorandums.
  • Issue disability and medical payments within given authority.
  • Input and monitor automatic disability scheduled payments and cancellations.
  • Calculate wage statements
  • Produced Legal referrals.
Gallagher Bassett ServicesMarch 2013 to November 2013Claims Assistant

  • Ensured  timely payment of benefits, medical and vendor bills and processes
  • Handled and processed confidential patient information.
  • Set up new claims, establish and maintain proper coding and data per company and client requirements.
Gallagher Bassett ServicesDecember 2011 to March 2013File Clerk
  • Drop filing of open and closed mail
  • Organized office file throughout office
  • Indexing of mail
  • Handling of live checks
  • Scanned and filed forms, reports, correspondence and receipts. Retrieved requested files and delivered to appropriate personnel. 
  • Update daily logs for tracking file movements.
  • Reviewed files to check for complete and accurate information. 
Comforce Technical ServicesSeptember 2009 to December 2011Claims Assistant
  • Issuing benefit letters and payments
  • Litigation referrals Calculating wage statements Issued payments on all non-medical bills and mileage
  • Preparation of Stipulations and C&R documents
  • Working closely with adjusters and clients on file work
  • Preparing and completing subpoena's Obtaining medical status updates.
Education
Fred G. Acosta Job Corps2008Certified Nurse assistant: HealthcareTucson, AZ
Languages
I am bilingual in Spanish. Ability to read, speak fluently and write in Spanish.
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Resume Overview

Companies Worked For:

  • Sedgwick CMS
  • Gallagher Bassett Services
  • Comforce Technical Services

School Attended

  • Fred G. Acosta Job Corps

Job Titles Held:

  • Claims Assistant
  • File Clerk

Degrees

  • Certified Nurse assistant : Healthcare

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