Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Ability to multi-task with efficiency and accuracy in a high paced environment. Excellent computer skills, knowledge of Microsoft Office software 10+ years of Customer Service experience analyzing and solving customer issues. Ability to handle multiple work assignments, set priorities and meet deadlines. Knowledge of medical terminology and CPT codes. Typing 55 - 60 wpm
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
08/2013 to Present
Claims Examiner Aegon New York, NY,
  • Process complex claims requiring further investigation.
  • Resolve pended claims.
  • Research participant invoices to resolve billing errors.
  • Make outbound calls to Physicians to rectify pending claims.
02/2013 to 08/2013
Agency/Sales Resource Representative Weir Group Clayton, NC,
  • Call Center environment.
  • Provided professional support to State Farm Agents and Agents staff.
  • Assisted agents with Sales Force program.
  • Assisted with contract questions and password resets.
01/2012 to 08/2012
Customer Care Specialist Humana City, STATE,
  • Worked in a fast paced environment and handled a constant volume of phone inquiries.
  • Assisted providers/Members with benefit verification and coverage.
  • Assisted with Claims/appeals status inquiries.
12/2002 to 01/2010
Account/Membership Representative III Blue Cross Blue Shield Of Texas City, STATE,
  • Supported account set-up and maintenance processes for new/existing accounts.
  • After confirming all required documents were submitted, processed information and released to underwriter for approval.
  • Released initial ID cards, payments and bill once group had been approved.
  • Small Business segment experience.
Expected in
Hillsborough High School - Tampa, FL
Expected in
Certificate: Cisco Network Intern:
El Centro College - Dallas, TX
Expected in
Certificate: Managing & Maintaining Computers:
Richland College - Richardson, TX
billing, Call Center, Cisco, fast, Managing, Network, processes, Research, Sales, phone, underwriter

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School Attended

  • Hillsborough High School
  • El Centro College
  • Richland College

Job Titles Held:

  • Claims Examiner
  • Agency/Sales Resource Representative
  • Customer Care Specialist
  • Account/Membership Representative III


  • Diploma
  • Certificate: Cisco Network Intern
  • Certificate: Managing & Maintaining Computers

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