Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Self-motivated Benefits Specialist proudly offering five years' experience. Looking for advancement opportunities in a Healthcare environment. Motivated and effective leader with a strong background in Substance Abuse. Professional with benefits inquiry and claim submission. Directed and built strong teams to achieve company goals.

  • Claims Processing
  • Utilization Review
  • ICD-9, ICD 10 Coding
  • 70 WPM
  • Salesforce CRM
  • Medisoft, Collaborate, Tier
  • Zirmed/Waystar
  • KiPU EMR, Sunwave
  • Relationship building and management
  • Operations
Work History
Customer Service Representative, 01/2013 - 01/2014
Akzo Nobel N.V. Warwick, ND,
  • Answered over one-hundred incoming calls for Google's high volume call center
  • Troubleshoot user devices i.e smart phones and tablets
  • Attentively listened to callers' needs to ensure excellent customer experience
  • Established well-detailed notes while interacting with customers
Business Development /Health Insurance Specialist, 08/2014 - 03/2015
The Mitre Corporation Fort Walton Beach, FL,
  • Welcomed visitors upon arrival of Recovery First's facility
  • Operated with high integrity, built trust and earned sustained credibility
  • Met with prospective companies to talk about services that were offered by Recovery First while
  • Initiated outbound administrative requests by phone and in writing to accomplish proper follow up
Department Manager, 04/2014 - 08/2019
Banyan Treatment Centers / New Leaf Billing, Inc. City, STATE, USA
  • Implemented successful strategies and operations that assisted with the growth and initial start of Banyan's in-house billing company (New Leaf Billing Solutions.)
  • Worked actively with the President of New Leaf and other department managers
  • Demonstrated clear written and oral communications skills when obtaining authorization with health care professionals
  • Reviewed over 100 patient files and records, chief complaints including allergies, diagnosis, medications and immunization statuses
  • Suggested ideas for day to day operations for each individual department along with creating monthly department quotas
  • Applied performance data through activity reports run directly through Salesforce, listened to calls for quality assurance
  • Checked all work resulting in improved call time and benefit accuracy
  • Oversaw and improved the Insurance Department
  • Created performance goals for employees and provided positive feedback on methods
  • Cultivated positive rapport with fellow departments to boost company morale and promote employee retention
  • Developed and implemented plans to minimize long hold times, incorrect insurance benefit information, incorrect claim submission and appropriate kickback
  • Created the department handbook to focus on equipping employees to independently meet department standard along with policy and procedures
  • Held monthly meetings with all department staff
  • Provided hands on training and re-training if needed
Bachelor of Science: Information Technology, Expected in 07/2023
Henry Ford College - Dearborn, MI

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School Attended

  • Henry Ford College

Job Titles Held:

  • Customer Service Representative
  • Business Development /Health Insurance Specialist
  • Department Manager


  • Bachelor of Science

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