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Claims Representative Resume Example

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CLAIMS REPRESENTATIVE
Professional Summary

Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

Experienced banking professional with superior attention to detail and highly ethical nature. Dedicated to maintaining optimal security and customer satisfaction while meeting ambitious sales targets. Well-versed in industry regulations and asset protection strategies.

Trustworthy Teller skilled in working in customer-focused work environments. Offering strong knowledge of banking products and services. Dependable and punctual with outstanding mathematical aptitude.

Personable Customer Service professional offering experience resolving account and service concerns for customers. Smoothly uncovered and solved challenges while promoting company products and maintaining loyal, satisfied customers. Focused on surpassing expectations and driving team success.

Outgoing and friendly receptionist delivering customer service and administrative excellence, including clerical support and public interaction. Excels in calendar management, scheduling, data-entry and database administration.

Accomplishments
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Compiled inventory lists and worked with vendors for product pricing and special orders. Handled high volume sales with cash, credit and gift card transactions, balancing cash draw at end of shift with 100% accuracy rate.
Skills
  • Cash Handling
  • Sales Goals
  • Transaction processing
  • Accounting systems and software
  • Night and safe deposit procedures
  • Dental assistant
  • Math aptitude
  • Banking
  • Good listening skills
  • Inbound and Outbound Calling
  • Customer support
  • Call center operations
  • Answering questions
  • Problem-solving skills
  • Microsoft Office
  • Client Communication
  • Multi-Line Telephone Systems
  • Mail handling
  • Verbal and written communication
  • Scheduling
  • Telephone skills
  • Matrix Management
  • Banking products
  • Customer service
  • Multitasking
  • Retail Sales
  • Strong organizational skills
  • General Math Skills
  • Detail oriented
  • Documentation Review
  • Word Excel
  • Computer Skills
  • Organization skills
  • Office administration
  • Call Forwarding
  • Currency Packaging
  • Deposit and Withdrawal Management
  • Customer relationship development
  • Compliance, banking laws and regulations
  • Financial services
  • Positive
  • Cheerful
  • Front desk
  • Communication skills
Work History
Claims RepresentativeJan 2019 - Current
Company NameCity, State
  • 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 ReceptionistSep 2020 - Apr 2021
Company NameCity, State
  • Scheduled, rescheduled and cancelled appointments for dental patients.
  • Maintained patient records in compliance with security regulations.
  • Helped patients complete necessary medical forms and documentation.
  • Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
  • Completed patient referrals to other medical specialists.
  • Booked appointments for patients using Microsoft office.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Preparing patents charts and daily schedules for the dental staff.
  • Greeting and welcoming patients.
  • Contacting patients to follow up on unscheduled treatments and recalls.
Bank TellerJan 2019 - Mar 2021
Company NameCity, State
  • Provided customer records on demand, including account statements and copies of checks.
  • Counted and packaged currency and coins.
  • Placed orders for customer checks and verified starting numbers.
  • Built and strengthened customer relationships by leveraging excellent interpersonal and communication skills.
  • Answered customer inquiries regarding account balances, transaction history, services charges and interest rates.
  • Educated customers on use of banking website and mobile apps.
  • Identified sales opportunities and referred customers to branch partners in financial services.
  • Recognized needs and referred to appropriate representative or line of business for cross-sell or service opportunities.
  • Stocked supplies for customers and personal teller station.
  • Answered telephone inquiries on banking products, including checking, savings, loans and lines of credit.
  • Adheres to safe deposit box procedures operations and guidelines.
  • Educates and engages Customers in conversations regarding their current and future financial needs and educates Customers about Bank products and services
  • Provides exceptional Customer service by meeting all Customer demands as they relate to relatively straightforward inquiries, with the support of more experienced personnel
  • Recognizes sales opportunities and cross-sells bank products by making quality referrals, meeting all assigned teller goals
  • Validates transactions for system or operational changes to ensure operational integrity and compliance to all required regulations
  • Handled various accounting transactions.
  • 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 Jun 2019
Burlington City High SchoolCity
Bachelor Of Applied Science: Criminal JusticeExpected in Jul 2022
Strayer UniversityCity, State
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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 Jun 2019
    Bachelor Of Applied Science : Criminal Justice Expected in Jul 2022

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