LiveCareer-Resume

claims representative resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Experienced Management Trainee successful at adapting to changing conditions and efficiently learning new processes. Performance-driven and responsible leader passionate about driving growth and improvements across the board. Brings disciplined approach to in-store operations management.

Skills
  • Financial records analysis
  • CRM
  • Forecasting skills
  • Staff development
  • Workforce Management
  • Resource utilization
  • Marketing promotions
  • Superb time management
  • Cost analysis and savings
  • Purchasing and planning
  • Task delegation
  • Procedural improvements
  • Key accounts and territory management
Experience
Claims Representative, 01/2022 - Current
Cognizant Technology Solutions Allen Park, MI,
  • Resolved customer issues efficiently to build loyalty.
  • Communicated status of assigned responsibilities to management.
  • Resolved client issues by delivering excellent customer service and maintaining positive attitude.
  • Responded to advanced issues with professional and relationship-focused approach.
  • Aided compilation of employee performance reviews to identify areas for training, provide feedback and set goals for improvement.
  • Met with customers to discuss options for selection of products and services.
  • Researched and responded to customer and vendor inquiries.
  • Tracked, recorded and reported customer satisfaction data for each shift.
Medical Customer Service Representative, 05/2021 - 12/2021
Concentra Milwaukee, WI,
  • Collaborated with manager to compile standardized policy to maintain compliance with company guidelines and regulatory requirements.
  • Supported and mentored recruiters to achieve sales goals while exceeding sales targets.
  • Assisted sales personnel with prospecting, acquiring or retaining business.
  • Evaluated accounts to determine accuracy and resolve issues to maintain customer satisfaction.
  • Researched and responded to customer and vendor inquiries.
  • Aided compilation of employee performance reviews to identify areas for training, provide feedback and set goals for improvement.
  • Assisted with projects and responsibilities to foster relationships with internal departments.
Call Center Manager, 02/2018 - 02/2021
Ciocca Dealerships Pleasantville, NJ,
  • Resolved customer issues efficiently to build loyalty.
  • Resolved client issues by delivering excellent customer service and maintaining positive attitude.
  • Responded to advanced issues with professional and relationship-focused approach.
Senior Staff Administrator, 10/1997 - 06/2017
ExxonMobil City, STATE,
  • Recruited and hired talented professionals with drive and dynamic skills to build success within organization.
  • Directed day-to-day operations by spearheading implementation of short-term and long-term strategies to achieve business plan and profitability goals.
  • Conducted performance reviews providing coaching and feedback to benefit both company and employee.
  • Managed company operations with responsibility for profit and loss, scheduling, training and inventory control.
  • Implemented policies and standard operating procedures and managed quality, customer service and logistics.
  • Delivered positive customer experiences by implementing effective quality assurance practices.
  • Collaborated with staff to maximize customer satisfaction, streamline procedures and improve bottom-line profitability.
  • Planned daily operational strategies, including delivery routing, team workflows and promotional initiatives.
  • Improved morale and management communication by creating employee recognition and rewards practices.
  • Developed initiatives for process improvement and reviewed and assessed ongoing operations.
Education and Training
Bachelor of Science: Business Management, Expected in 10/1997
-
University of Phoenix - Tempe, AZ,
GPA:
Status -
Accomplishments
  • Must-have qualifications
  • Two years of post-secondary education or higher
  • Instead of the above, two years of relevant work experience
  • Sales only: Property & Casualty license; if you’re not already licensed, you’ll have an opportunity to gain it during training (and must remain compliant with licensing requirements as an employee)
  • Homeowners insurance roles only: Property & Casualty license; if you’re not already licensed, you’ll have the opportunity to gain it during training (and must remain compliant with licensing requirements as an employee)
  • Raining starts: February and March 2022
  • Chedule: Most schedules will include a weekend day and evening hours after completion of training
  • Ork from home office requirements
  • Designated workspace free from noise and other distractions
  • Remote office internet connection via DSL or Cable Modem with minimum speed of 10mbps down and 1mbps up
  • Computer that is provided to you must be physically connected to the router or modem by a cable (no wireless connection)
  • All Progressive hardware you receive needs to be connected to a surge protector
  • High-speed internet access is at your expense unless otherwise required by law
  • Ompensation
  • 16.85-$19.65/hour
  • Gainshare bonus up to 16% of your eligible earnings based on company performance
Certifications
  • Certified Coding Specialist (CCS)
  • Nationally Certified Insurance and Coding Specialist (NCICS)
  • Certified Professional Coder (CPC)
  • Certified Medical Coder (CMC)
  • Certified Inpatient Coder (CIC)
  • Certified Billing and Coding Specialist (CBC

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Resume Overview

School Attended

  • University of Phoenix

Job Titles Held:

  • Claims Representative
  • Medical Customer Service Representative
  • Call Center Manager
  • Senior Staff Administrator

Degrees

  • Bachelor of Science

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