LiveCareer-Resume
Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Experienced Healthcare Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering four years of experience and willingness to take on any challenge.

Skills
  • Coverage assessments
  • Settlement determinations
  • Documentation Review
  • Claims Adjustments
Work History
Claims Specialist, 03/2020 to Current
American Modern Insurance GroupValley Forge, PA,
  • Maintained confidentiality of patient finances, records and health statuses.
  • Coordinated with contracting department to resolve payer issues.
  • Communicated verification and authorization status updates with Utilization and Management department to facilitate decision-making for patient admissions and insurance coverage.
Server Part Time, 01/2020 to Current
Watermark Retirement CommunitiesHerriman, UT,
  • Arranged tables for customers, following established preparation procedures to provide guests with excellent experiences and foster repeat business.
  • Collaborated with kitchen team to support order preparation, manage efficient deliveries and minimize customer service issues by verifying meals.
  • Created orders, documented special requests and followed up with kitchen personnel to foster top-quality service and minimize complaints.
Title Clerk, 11/2019 to 02/2020
Holiday Inn Club VacationsBrownsville, VT,
  • Organized and prepared tax and title documents to transfer ownership of property.
  • Posted titling transactions and monitored corresponding schedules, using Excel.
  • Prepared tax and title documents to submit all legal transfer work to DMV.
Banquet Server, 06/2018 to 08/2019
Grand CasinoFoxtrot Marketing, MN,
  • Maintained customer satisfaction with timely table check-ins to assess food and beverage needs.
  • Executed synchronized meal service simultaneously serving multiple guests with speed and efficiency.
  • Collected credit card, cash and gift certificate payments and dispensed change for cash transactions.
Inside Sales Representative, 06/2016 to 05/2017
Resideo Technologies, Inc.Indianapolis, IN,
  • Showcased product features to customers and discussed technical details to overcome objections and lock in sales.
  • Collected information on sales and service issues to provide effective resolutions.
  • Surpassed sales targets by 70%.
Retention Specialist, 01/2016 to 06/2016
Cano HealthPalm Bay, FL,
  • Reviewed successes and failures to learn from previous mistakes.
  • Adhered to appropriate legal scripting when required.
  • Coordinated implementation of people-related services, policies and programs through departmental staff.
Hospice Coordinator, 03/2015 to 01/2016
Deckers Outdoor CorporationAlbertville, MN,
  • Communicated with patients, ensuring that medical information was kept private.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Discussed medical histories with patients in effort to provide most effective medical advice.
Health Insurance Consultant, 10/2013 to 03/2015
21St Century OncologyLompoc, CA,
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
  • Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
  • Remained impartial in order to advise clients based on circumstances.
Legal Administrative Assistant, 04/2011 to 08/2014
W. Benjamin McClain Jr., Attorney At Law LLCCity, STATE,
  • Maintained organized office and case-specific paper and digital files for easy tracking and retrieval.
  • Managed accounts and client records of clients, observing confidentiality and extreme discretion.
  • Generated pleadings and other legal documents for review by attorneys and paralegals.
Senior Inbound Customer Service Specialist, 03/2011 to 02/2012
GannettCity, STATE,
  • Greeted customers and listened closely to problems described to determine solutions.
  • Resolved customer service issues using company processes and policies and provided updates to customers.
  • Maintained up-to-date knowledge of product and service changes.
Billing Specialist, 09/2005 to 09/2008
TeleTech HoldingsCity, STATE,
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
Education
Associate of Science: Legal Studies, Expected in 05/2012
Brown Mackie College - Greenville, SC,
GPA:
  • Graduated with 3.8 GPA
  • Graduated magna cum laude
  • Member of National Technical Honors Society
Skills
  • Coverage assessments
  • Settlement determinations
  • Documentation Review
  • Claims Adjustments
Work History
Claims Specialist, 03/2020 to Current
Morley CompaniesGreenville, SC
  • Maintained confidentiality of patient finances, records and health statuses.
  • Coordinated with contracting department to resolve payer issues.
  • Communicated verification and authorization status updates with Utilization and Management department to facilitate decision-making for patient admissions and insurance coverage.
Server Part Time, 01/2020 to Current
Cheddar's Scratch Kitchen Darden RestaurantsGreenville, SC
  • Arranged tables for customers, following established preparation procedures to provide guests with excellent experiences and foster repeat business.
  • Collaborated with kitchen team to support order preparation, manage efficient deliveries and minimize customer service issues by verifying meals.
  • Created orders, documented special requests and followed up with kitchen personnel to foster top-quality service and minimize complaints.
Title Clerk, 11/2019 to 02/2020
Find Great PeopleGreer, SC
  • Organized and prepared tax and title documents to transfer ownership of property.
  • Posted titling transactions and monitored corresponding schedules, using Excel.
  • Prepared tax and title documents to submit all legal transfer work to DMV.
Banquet Server, 06/2018 to 08/2019
Express ProfessionalsGreenville, SC
  • Maintained customer satisfaction with timely table check-ins to assess food and beverage needs.
  • Executed synchronized meal service simultaneously serving multiple guests with speed and efficiency.
  • Collected credit card, cash and gift certificate payments and dispensed change for cash transactions.
Inside Sales Representative, 06/2016 to 05/2017
SpectrumSimpsonville, SC
  • Showcased product features to customers and discussed technical details to overcome objections and lock in sales.
  • Collected information on sales and service issues to provide effective resolutions.
  • Surpassed sales targets by 70%.
Retention Specialist, 01/2016 to 06/2016
ConcentrixGreenville, SC
  • Reviewed successes and failures to learn from previous mistakes.
  • Adhered to appropriate legal scripting when required.
  • Coordinated implementation of people-related services, policies and programs through departmental staff.
Hospice Coordinator, 03/2015 to 01/2016
Allcare MedicalGreenville, SC
  • Communicated with patients, ensuring that medical information was kept private.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Discussed medical histories with patients in effort to provide most effective medical advice.
Health Insurance Consultant, 10/2013 to 03/2015
CONCENTRIXGreenville, SC
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
  • Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
  • Remained impartial in order to advise clients based on circumstances.
Legal Administrative Assistant, 04/2011 to 08/2014
W. Benjamin McClain Jr., Attorney At Law LLCGreenville, SC
  • Maintained organized office and case-specific paper and digital files for easy tracking and retrieval.
  • Managed accounts and client records of clients, observing confidentiality and extreme discretion.
  • Generated pleadings and other legal documents for review by attorneys and paralegals.
Senior Inbound Customer Service Specialist, 03/2011 to 02/2012
GannettGreenville, SC
  • Greeted customers and listened closely to problems described to determine solutions.
  • Resolved customer service issues using company processes and policies and provided updates to customers.
  • Maintained up-to-date knowledge of product and service changes.
Billing Specialist, 09/2005 to 09/2008
TeleTech HoldingsGreenville, SC
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.

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Resume Overview

School Attended

  • Brown Mackie College

Job Titles Held:

  • Claims Specialist
  • Server Part Time
  • Title Clerk
  • Banquet Server
  • Inside Sales Representative
  • Retention Specialist
  • Hospice Coordinator
  • Health Insurance Consultant
  • Legal Administrative Assistant
  • Senior Inbound Customer Service Specialist
  • Billing Specialist

Degrees

  • Associate of Science

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