claims examiner resume example with 6+ years of experience
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Organized Insurance Claims and Benefits professional offering expertise valuable to Human Resources including communication of employee benefits and de-escalating high stress situations. Completed minor in Family and Human Services. Skilled in the art of listening, mediation, and collaboration. Passionate leader and advocate for people, continued education, and creative solutions.
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- Processed variety of claims including medical, dental, and vision.
- Analyzed and audited open claims to calculate additional payments owed.
- Consulted physicians, accountants, and legal team when needed.
- Obtained necessary information to complete proper evaluation of injury claims.
- Adhered to company and client's guidelines in claims processes.
- Quoted benefits to providers and members with clarity and accuracy.
- Provided excellent customer service and member advocacy.
- De-escalated heated phone calls with kindness, compassion, quick decision making, and prompt follow-through.
- Adhered to strict confidentiality regulations.
- Managed website and social media pages including graphic and content creation. Regularly used platforms such as WordPress, Adobe InDesign, and Photoshop.
- Tracked audience engagement on company websites and social media platforms.
- Produced mass quantities of printed product.
- Edited and organized audio files.
- Purchased product and kept inventory.
- Assisted with planning and execution of design and marketing campaigns.
- Performed administrative tasks.
- Managed financial records and social media accounts.
- Completed mass mailing and emailing projects.
- Organized files and supply closets.
- Purchased product and kept inventory.
John Brown University - Siloam Springs, AR,
- Minor in Family and Human Services.
- Coursework in counseling, psychology, and spiritual formation.
- Coursework specific to B.S. in Worship Arts including music, theology, and practical skills related to church and parachurch organizations.
- Professional development of communication and leadership.
International Fellowship:
Gathered with international students and professionals in local area to make them feel at home in Springfield and to make the Gospel known.
International Mission Trips:
Served in Ecuador, Mexico, and Canada. Trained to serve in Italy before trip got canceled due to pandemic.
Right Quest at New Life Ranch:
Partnered with Right Quest to equip young people (who often came from underprivileged families) to overcome obstacles through teaching outdoor skills and one-on-one mentoring.
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Resume Overview
School Attended
- John Brown University
Job Titles Held:
- Claims Examiner
- Media Assistant
- Office of Christian Formation and Student Ministries Administrative Assistant
Degrees
- Bachelor of Science
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