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Claims Representative Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Familiar with diverse banking and investment products, including deposit accounts and loans. Competent in setting up services, transferring funds and helping with complex transactions. Positive and upbeat with strong communication and problem-solving abilities.

Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate systems. Effective at operating within different regulations and department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.

Meticulous Dental Receptionist with 2 years of experience managing front desk operations for heavily trafficked offices. Detailed patient information organizer, following established protocol for records retention and security. Collaborative team member, maintaining positive communication and highly systematic desk operations.

Accomplishments
  • Teller of the Year in 2020 for exceptional customer service.
  • Achieved 100% accuracy rate throughout almost 2 years of cash drawer audits.
  • Won the 2019 “Salesperson of the Year” award for having 99.57% customer satisfaction rating.
  • Successfully processed 45 checks in 1 hour, during a staff shortage incident on a busy day at the bank.
  • Chosen out of 50 tellers in 5 branches to perform advanced transactions including foreign exchange.
  • Balanced cash drawers for 4 cash counters within the provided deadline of 2 hours.
  • Introduced a new Dental Education System to assist patients and families in understanding the core dental procedures of the facility.

Skills
  • Account management
  • Microsoft Office
  • Clerical
  • Good listening skills
  • Written Communication
  • Sales Goals
  • Cash Handling
  • Accurate Money Handling
  • Customer Accounts Management
  • Deposit and Withdrawal Management
  • Transaction processing
  • Night and safe deposit procedures
  • Loans
  • Banking
  • Financial analysis
  • Math aptitude
  • Rapid data entry skills
  • Positive
  • Insurance Billing
  • Scheduling
  • Appointment Setting
  • Filing
  • HIPAA Compliance
  • Cleaning
  • Adept at Multi-Line Phones
  • Patient Assistance
  • Patient Contact
  • Patient Information Verification
  • Documentation Review
  • Policy understanding
  • Accident investigations
  • Coverage assessments
  • Supervision
  • Teambuilding
  • Responsible
  • Excellent work ethic
  • Conflict resolution
  • Written and spoken communication skills
  • Honesty
  • Reliability
  • Teamwork
  • Attention to detail
  • NuPoint teller software experience
  • Strong typing skills
  • Analytical thinking
  • Administrative skills
  • FHA guidelines
  • Multitasking
Work History
Claims Representative, 06/2020 to Current
Cna FinancialBloomington, MN,
  • Followed up on denials, late payments, extensions and other special circumstances.
  • Acted as emotional support for customers experiencing catastrophic situations.
  • Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
  • Answered average of 50 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
  • Transfer calls to the appropriate personnel.
  • Provided authorization to medical providers or escalate authorization requests to appropriate personnel. Complete callbacks in a timely manner, documenting results in a computer correspondence.
  • Provided support and back up to other areas in worker's compensation claims, complete other tasks as needed.
  • Listens and records information simultaneously and follow through by assessing losses and acting upon the claim, should it require attention.
  • Determines appropriate coverage and complete necessary follow ups in a Tim and efficient manner.
Dental Receptionist, 06/2020 to 04/2021
HealthpartnersHudson, WI,
  • Scheduled, rescheduled and cancelled appointments for dental patients.
  • Helped patients complete necessary medical forms and documentation.
  • Booked appointments for patients using Microsoft office.
  • Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
  • Sent payment notices to insurance companies and patients
  • Updated patient's information on records
  • Sent out reminder cards to patients weekly.
  • Treat all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
  • Manage front office operations, including ordering and restocking inventory.
Bank Teller, 11/2019 to 04/2021
Applied Card SystemsRehoboth Beach, DE,
  • Helped customers open and close checking accounts, credit cards, savings accounts, personal loans, and mortgages.
  • Built and strengthened customer relationships by leveraging excellent interpersonal and communication skills.
  • Turned in excess cash to maintain drawer security.
  • Performed customer transactions for money orders, cashiers checks, deposits and withdrawals.
  • Educated customers on use of banking website and mobile apps.
  • Answered telephone inquiries on banking products, including checking, savings, loans and lines of credit.
  • Processed loan payments safety deposit box payments deposits and withdrawals for customers.
  • Assisted clients with various questions and concerns related to their accounts and bank products.
  • Treated all customers with courtesy and respect.
  • Balanced cash drawer at shift end.
  • Greeted customers upon entry to the bank.
  • Referred customers to bank services and informed them of new products.
  • Knowledge of and ability to utilize processes, tools, and techniques for detecting, addressing and preventing fraudulent situations.
  • Adheres to safe deposit box procedures operations and guidelines.
  • Used Microsoft Word and other software tools to create documents and other communications.
  • Worked flexible hours; night, weekend, and holiday shifts.
Education
High School Diploma : , Expected in 06/2019
Burlington City High School - Burlington City NJ,
GPA:
  • Continuing education in science
Bachelor Of Applied Science: Criminal Justice, Expected in 07/2022
Strayer University - Washington, DC
GPA:
  • Majored in Law

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Resume Overview

School Attended
  • Burlington City High School
  • Strayer University
Job Titles Held:
  • Claims Representative
  • Dental Receptionist
  • Bank Teller
Degrees
  • High School Diploma
  • Bachelor Of Applied Science

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