, , 100 Montgomery St. 10th Floor(555) 432-1000, resumesample@example.com
Summary
Calm Customer Service Representative with 1 years of experience assisting customers using active listening and customer needs assessment to offer targeted solutions. Consistently friendly and professional when handling diverse customer needs in high-volume call center environments. Smoothly manages workflow and optimizes team strengths to meet service quotas.
Skills
Leadership.
Ability to work in a team.
Written communication skills.
Problem-solving skills.
Strong work ethic.
Analytical/quantitative skills.
Technical skills.
Verbal communication skills.
Experience
05/2020 to CurrentInsurance Claims RepresentativeJ.D. Byrider | Akron, OH,
Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
Verified details with policyholders and requested additional information.
Reviewed documentation and accounts to gain full picture.
Assessed policy coverage and pulled contracts for review.
Processed high volumes of bodily injury claims efficiently while working in fast-paced environment.
Consulted with field support team, claim manager and other entities to receive support specific to assigned claim.
Negotiated settlements for uncomplicated claims in accordance with actual company liability.
Determined liability, compensability and benefits due on each claim.
Monitored reports to identify claims issues and worked with adjusters to resolve problems.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Verified policy holder data, including age, contact number and physical address.
Complied with confidentiality regulations in handling customer information.
Checked documentation for appropriate coding, catching errors and making revisions.
Verified patients had proper insurance coverage prior to procedures or appointment scheduling.
Corresponded with insurance customers and agents to obtain or relay information on account status changes.
Updated patient and insurance data and input changes into company's computer system.
Assisted new policyholders with processing claims.
01/2016 to 05/2019Substitute TeacherWhittier City School District | Whittier, CA,
Enforced classroom routines to keep students on schedule and operating at consistent level.
Implemented lesson plans assigned by classroom teacher to educate students about key concepts.
Provided notes and reports on school day activities to primary teacher.
Engaged students in discussions to promote interest and drive learning.
Educated students in various subjects to provide seamless transition during absence of head teacher.
Maintained student attendance and assignment records to prevent lapses during teacher absences.
Differentiated classroom and small group instruction to meet needs of students with various learning styles and abilities.
Helped students build learning and study skills to achieve educational goals.
Engaged students and boosted understanding of material using focused instructional strategies and hands-on activities.
Reported problem students to principal to maintain control of classroom.
Managed high school classrooms during teacher absences.
Assigned homework to students based on curricula and modified based on daily progress.
Promoted learning by leveraging traditional and modern instructional strategies.
Built and strengthened positive relationships with students, parents and teaching staff.
Facilitated student learning with tutoring sessions for peers in quiet, controlled environment.
Maintained strong knowledge of course requirements and school policies.
Designed handouts and artifacts to help students improve understanding of course content.
Mentored, tutored and instructed students after school and during planning times.
08/2015 to 12/2015Construction LaborerWeaver Consultants Group | Golden, CO,
Maintained clean, safe working environment by removing waste from job site prior to shift completion.
Collected and removed debris from work sites to maintain team productivity and minimize safety hazards.
Used picks and shovels to dig, spread and level dirt and gravel.
Met company and OSHA safety guidelines for work site operations to minimize worker risk.
Prepared sites for concrete work by breaking up damaged concrete and leveling or contouring ground.
Operated overhead lifts to move heavy and bulky work materials.
Read and understood specifications, drawings and blueprints to complete accurate, high-quality work.
Built and disassembled scaffolds, bracing and barricades to assist in vertical construction activities.
Coordinated communication between equipment operators via two-way radios and hand signals.
Logged inventory of materials to maintain access to supplies.
Used drills and other power tools safely to complete job tasks.
Maintained orderly work environment by removing trash and sweeping up debris.
Loaded materials, equipment and tools onto trucks and secured for transport to job sites.
Sustained safety protocols to maintain secure, proper handling of equipment and materials.
06/2014 to 10/2015Care ProviderOakmont Management Group | Vallejo, CA,
Made beds, swept floors and sanitized surfaces to support activities of daily living.
Maintained daily living standards by assisting clients with personal hygiene needs.
Assisted patients with daily personal hygiene.
Assisted with meal planning to meet nutritional plans.
Arrange medication and reminded patients to take each according to correct schedule.
Maintained safety by eliminating hazards and correcting issues.
Engaged with patients and families to provide emotional support and daily living instruction.
Supported total well-being by planning social and physical activities.
Prepared healthy meals for to meet unique nutrition needs.
Monitored vital signs and medication use, documenting variances and concerning responses.
Transported patients to medical, dental and personal care appointments.
Planned and prepared nutritious meals and snacks to meet diabetic, low sodium and high protein diets.
Recorded patient temperature, pulse and blood pressure to monitor health and well-being.
Laundered clothing and bedding to prevent infection.
Ambulated individuals around home, public and medical locations.
Reported concerns to nurse supervisor to promote optimal care.
Coordinated doctor appointments, exercise, recreation and family visits to maintain schedule.
Directed patients in passive and active ROM exercises to maintain musculoskeletal functions and increase strength.
Modified settings to adjust for dynamic mental and physical requirements.
Education and Training
Expected in Associate of Arts | Public AdministrationNavajo Technical University, Crownpoint, NMGPA:
Expected in 05/2018Certificate | CNANavajo Technical University, Crownpoint, NMGPA:
Expected in 05/2006High School Diploma | Chinle High School, Chinle, AZGPA:
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