Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,

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.

  • Leadership.
  • Ability to work in a team.
  • Written communication skills.
  • Problem-solving skills.
  • Strong work ethic.
  • Analytical/quantitative skills.
  • Technical skills.
  • Verbal communication skills.
05/2020 to Current Insurance Claims Representative J.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 05/2019 Substitute Teacher Whittier 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 12/2015 Construction Laborer Weaver 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 10/2015 Care Provider Oakmont 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 Administration Navajo Technical University, Crownpoint, NM GPA:
Expected in 05/2018 Certificate | CNA Navajo Technical University, Crownpoint, NM GPA:
Expected in 05/2006 High School Diploma | Chinle High School, Chinle, AZ GPA:

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School Attended

  • Navajo Technical University
  • Navajo Technical University
  • Chinle High School

Job Titles Held:

  • Insurance Claims Representative
  • Substitute Teacher
  • Construction Laborer
  • Care Provider


  • Associate of Arts
  • Certificate
  • High School Diploma

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