Insurance and Safety Administrator Resume Example
Highly focused customer service professional with a focus on insurance and billing. I employ professionalism and superior communication skills to meet client and company needs. Excel at fact finding, analyzing, prioritizing and completing tasks while exhibiting professionalism and sound judgement. Exceptional organization skills, results-oriented and technically competent.
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PC Construction Company – City , STATE
- Review incoming proposals and contracts
- Check information for accuracy and integrity while independently locating and correcting concerns
- Communicate with medical facilities and insurance companies to help with claims process
- Provide assistance in managing health and safety programs aligned with industry standards
- Established proper insurance coverage for each project
- Monitor, track and file claims from 50+ job sites throughout eastern coast
- Collaborate with safety teams in most current regulations and practices
- Prevention strategies to mitigate future risk
- Document workflow technique
- Create and maintain OSHA reports
State Of Vermont – City , STATE
- Examine data to complete insurance applications or change of circumstances to ensure proper coverage
- Investigate and interpret records to uncover errors, billing discrepancies with premiums and payment plan changes
- Understood and thoroughly explained services provided to customers and potential customers
- Analyze each case for eligibility and enrollment
- Processed eligibility, benefits verification and authorization requests
- Responsible to report fraud
- Research, assist and resolve disputes in a professional and positive manner
- Collaborate and cultivate close working relationships with supervisors, mentors, health insurance carriers and troubleshooting specialists to achieve resolution
- Interact daily with insurance companies and their agents
- Refer to other state programs when needed
University Of Vermont Medical Center – City , STATE
- Managed over 50 calls per day
- Consent to treat, admit and collect co-pays and deductibles
- Create, assign and prioritize financial classes
- Acquire appropriate patient demographics
- Research and assign diagnosis and billing codes
- Correspond with insurance companies for patient eligibility and claim status
- Create, edit and maintain spreadsheets
- Skillfully achieve department goals, objectives, policies and procedures
- Adhere to state, federal, third party payer compliance and billing regulations
- Comply with laws, regulations for Medicare and Medicaid
- Represent and interpret agency functions to clients, institutions, government agencies and other organizations
Fairpoint Communications Inc. – City , STATE
- Supervise and assist 30 representatives to maximize team knowledge and productivity by effectively training, monitoring and directing them in application best practices
- Resolve complex service issues, billing and technical problems
- Answer and direct minimum of 50 outbound/inbound phone calls per day
- Diffuse volatile customers calmly and courteously
- Identify and recommend changes to existing processes to improve accuracy, efficiency and quality service
- Advocate, encourage and support staff to identify and resolve conflicts
- Coordinate detailed work orders for repair
- Adjust program mechanics to account for changing conditions
- Foster a climate of collaboration between departments to assist in resolving problems
- Document inquiries and comments thoroughly
- Key member of Cut-Over-Sales and Service Team in transition form Verizon systems to Fairpoint systems
Community College of Vermont - City, State
I am currently a licensed Real Estate Referral Specialist with New England Referral Services through Coldwell Banker Hickok and Boardman.
· Assist clients in locating resources in the real estate industry
· Link and refer families to licensed real estate agents to either buy or sell property
· Schedule appointments with realtors on behalf of clients
· Collect and verify completeness of referral forms
· Fair housing knowledge and required to abide by all of their rules and regulations
I am certified with the State of Vermont's Essential Maintenance Practices (EMP). It is a law that creates a standard of care with respect to lead paint stabilization and maintenance on rental units and daycare facilities that were built before 1978.
Vermont's Essential Maintenance Practices (EMP) are:
· Perform a visual on-site inspection of interior and exterior surfaces to identify deteriorated paint.
· Install window well inserts in all pre-1978 wooden window wells
· Stabilize paint if more than one square foot of deteriorated paint is found on either interior or exterior surface within 30 days of identification or report by tenant.
· Utilize lead safe work practices when disturbing paint as described by the VDH, which includes not using prohibited practices
· Remove all visible paint chips from the ground on the property.
· Perform specialized cleaning at the conclusion of any work, annually in common areas, and when the unit turns over.
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Resume Overview
School Attended
- Community College of Vermont
Job Titles Held:
- Insurance and Safety Administrator
- Healthcare Eligibility and Enrollment Specialist
- Registration and Financial Clearance
- Administration, Customer Service and Sales
Degrees
- Associate of Science : Health Science , 04/2017
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