medical payments adjuster resume example with 2+ years of experience
Talented Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused. Offering insurance experience gained over progressive insurance industry background. Closely examine documentation and property to identify damage, estimate costs and maintain liability limitations. Keen to balance company and customer interest with fair and equitable policies.
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Member, Allstate Ambassadors (2016-2018)
Member, National Society of Collegiate Scholars (2019 - current)
GPA: 3.75
Completed coursework : Information Systems Fundamentals
Completed coursework : Intro to Cyber Domains
Completed coursework : Foundations of Security
Completed coursework : IS Security Concepts
Completed coursework : Computer Network Defense
- Advise customers on coverages and benefit levels, explains the claim process and collects required information
- Investigate to determine coverage eligibility for applicant(s) according to policy conditions
- Investigate prior losses and other information on file and orders reports as needed.
- Prepare necessary paperwork to process medical payments claims
- Collect, evaluate, process medical bills and records
- Perform clerical duties, including data entry, filing paper documents, email, calendar management, and word processing
- Retrieve, print, fax, or mails supporting documentation to vendors, providers or others as needed
- Processes payments to providers and vendors
- Receive and evaluate attorney demands
- Provides back-up for any support functions in the office
- Receives, screens and routes incoming telephone calls and other electronic correspondence
- Contacts or receives contact from customers or other claim related third parties to obtain necessary file information to comply with quality and process standards
- Receive and evaluate attorney demands
- Advise customers on coverages and benefit levels, explains the claim process and collects required information.
- Investigate to determine coverage eligibility for applicant(s) according to policy conditions.
- Investigate prior losses and other information on file and orders reports as needed.
- Prepare necessary paperwork to process medical payments claims
- Collect, evaluate, process Health Insurance, Medicare and Medic-cal liens, medical bills and records.
- Perform clerical duties, including data entry, filing paper documents, email, calendar management, and word processing.
- Retrieve, print, fax, or mails supporting documentation to vendors, providers or others as needed.
- Processes payments to providers and vendors.
- Receive and evaluate attorney demands.
- Provides back-up for any support functions in the office.
- Receives, screens and routes incoming telephone calls and other electronic correspondence.
- Contacts or receives contact from customers or other claim related third parties to obtain necessary file information to comply with quality and process standards.
- Receive and evaluate attorney demands.
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Resume Overview
School Attended
- UNIVERSITY oF PHOENIX
Job Titles Held:
- Medical Payments Adjuster
- Claims Processor
Degrees
- Information Technology with an Information Assurance and Security Certificate
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