claims representative resume example with 19+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary
To obtain a leadership position that would utilize my skills, my education, and my experience while providing quality care and services for the agency clientele.
Skill Highlights
  • Family therapy background
  • Solution-focused counseling
  • Extensive DSM-IV knowledge
  • Exceptional problem solver
  • Suicide risk assessments
  • CPR and first Aid for adults and children
  • Basic Medical Terminology
  • Case Management
  • Licensed Marriage and Family Therapist in Texas, #201679
  • Licensed Professional Counselor Intern in Texas, #74326
  • Member of American Association of Family Therapy
  • Member of Texas Association of Family Therapy
  • Experienced in psychoanalytic psychotherapy
  • Crisis Intervention
  • Computer programs in Excel, Outlook, Microsoft Word, and Power Point
Professional Experience
Program Therapist, 01/2013 - Current
Eating Recovery Center Evanston, IL,
  • Started the company as an intern February 2013 and was promoted to Program Therapist on August 2015.
  • Assess patients from different socioeconomic backgrounds that are homeless, adolescents, adults, and geriatrics.
  • Assess patients with severe mental health issues such as depression, bipolar, schizophrenia, alcohol and substance abuse.
  • Documented all patient information including service plans, treatment reports and progress notes.
  • Taught clients anger management techniques, relaxation skills, impulse control, social skills, emotional coping skills and functional living skills.
  • Collaborated closely with treatment team to appropriately coordinate client care services.
  • Referred clients to other programs and community agencies to enhance treatment processes.
  • Worked with parents to implement consistent behavior therapy techniques at home and school.
  • Created short and long term goals with the patient and their family during the family therapy session.
  • Completed case assessments for patients based on their social, medical, childhood history
  • Completed an extensive substance abuse assessment.
  • Guided clients in understanding illnesses and treatment plans.
  • Lead and conducted intensive outpatient and inpatient group therapy.
  • Received certification and training in the following:                     Non Violent Crisis Intervention (CPI), HIPPA, Preventing Workplace Violence, Hand Hygiene, Infection Control, Risk Management, Identifying and Assessing Victims of Child Abuse, Identifying and Assessing Victims of Elder Abuse and Neglect, Sexual Harassment in the Workplace, Patient Rights, Workplace Violence, Suicide Prevention, Patient Safety Discharge Process, Documentation, Cultural Competence, and Developmentally Appropriate Care of the Adult and Pediatric Patient.
Counselor, 07/2011 - 2013
Start Treatment & Recovery Centers New York, NY,
  • Completed weekly didactic family education groups for a men residential treatment facility for alcohol and substance abuse.
  • Created topics for discussion on how alcohol and drugs affects the individual and their family.
  • Charted and recorded information in client files.
  • Created a crisis intervention plan with the individual and with their family, friend, or loved ones. 
  • Taught clients anger management techniques, relaxation skills, impulse control, social skills, and emotional coping skill.
Claims Representative, 09/2003 - Current
Chubb Home City, IL,
  • Promoted from Service Representative to Claims Representative on September 2014
  • Complete applications for claimants filing for retirement, survivor, disability, Supplemental Security Income (SSI), and Medicare.
  • Extensive flexibility skills to stay up to date with program changes and policy
  • Communicate with people from diverse cultural backgrounds, foreign language, and those who are blind and hearing impaired.
  • Prepared weekly reports for the management meetings.
  • Served as Officer in Charge to resolve complicated issues and complaints from the public.
Medical Case Manager, 08/2002 - 02/2003
Aids Healthcare Foundation Rancho Cucamonga, CA,
  • Interviewed and assessed clients affected with HIV, AIDS, mental health, and drug abuse issues during Psychosocial Assessments for medical, social, educational, and mental health services.
  • Managed a caseload between 20-30 clients daily.
  • Advocated for the clients best interest during treatment plans.
  • Assisted clients complete applications for SSI, Social Security benefits, food stamps, Medicaid, Medicare, financial assistance, and housing assistance.
  • Researched and referred clients to resources available in their community.
  • Completed a detailed service plan outlining client's goals, medication schedule, and doctor's appointments.
  • Performed daily face-to-face contacts with clients from different economic, social, and cultural backgrounds.
  • Performed daily follow-up calls and visits to ensure clients are linked to the services needed.
Youth Case Manager, 06/2001 - 08/2002
Henderson Mental Health Center City, STATE,
  • Interviewed and assessed clients during Psychosocial Assessments for medical, social, educational, and mental health services.
  • Managed a caseload of clients with dual diagnoses, juvenile delinquents, truant, Severe Emotionally Disturbed (SED), and children with emotional, social, and school problems.
  • Advocated for the client's best interest.
  • Maintained a caseload of 18-20 clients.
  • Developed service plans that outlined short and long-term goals with the clients and their families.
  • Monitored client's health status by attending psychiatric appointments, doctor appointments, and therapeutic sessions.
  • Acted as a liaison between program services, the client, and the family to ensure the smooth flow of information.
  • Researched resources available in the community for the client.
Education and Training
Master of Science: Psychology Marriage and Family Therapy, Expected in 12/2010
Our Lady of the Lake University - Houston, TX
Status - Psychology Marriage and Family Therapy
Bachelor of Science: Psychology Human Development and Family Studies, Expected in 08/2000
University of Houston - Houston, TX
GPA: Graduated Cum Laude
Status - Psychology Human Development and Family Studies Graduated Cum Laude
High School Diploma: , Expected in present
Willowridge High School - Houston, TX
GPA: Cum Laude
Status - Cum Laude Job Related Skills Excel, Power point, Microsoft Word, Outlook, adult and child CPR and first aid, crisis intervention, basic knowledge of medical terminology, community service and project coordinator Internship Santa Maria Hostel- I provide individual, family, group, and couple therapy to women in a residential treatment center for their addiction. I work with women who have mental health issues, molestation, eating disorders, physical/sexual abuse, and women involved with Child Protective Services because they lost their children. I plan, organize, and prepare training manuals for family education class, parenting skills class, anger management, and helping women recover
I was Outreach Chairman for the Student Psychological Association I was treasurer, secretary, and fund-raising chairman for Sigma Gamma Rho Sorority.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Our Lady of the Lake University
  • University of Houston
  • Willowridge High School

Job Titles Held:

  • Program Therapist
  • Counselor
  • Claims Representative
  • Medical Case Manager
  • Youth Case Manager


  • Master of Science
  • Bachelor of Science
  • High School Diploma

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: