Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
Excellent with Microsoft Office Products ( Word, Excel,Outlook,etc) Professional verbal and written communication skills Adept to work in a fast paced environment to support and meet production goals Excellent Organizational and analytical skills Strong Financial Services experience skills/background Intermediate Administrative experience Excellent Computer Data entry experience Committed to demonstrating a positive constructive, and cooperative attitude
  • High customer service standards
  • Service solutions expert
  • Conflict resolution proficiency
  • Devoted to data integrity
  • Strong problem solving ability
  • Proficient with Microsoft Office Suite
  • Customer Relationship Management software (CRM)
  • Troubleshooting skills
Exceeded corporate target for customer satisfaction for 24 months in a row. Promoted to Special Ops Team in 1 year.
Medicare Part D, 10/2015 to 01/2016
LeidosEdgewood, MD,
  • Maintained compliance with operating policies at all times Contacted customers to verify and obtain additional information Processed and corrected any issues found in the overall process Filed documentation once verified for completeness and accuracy Compiled reconsideration file request documents/materials (print /fax).
Key Accounts Logistics Assistant, 10/2014 to 03/2015
Barry-WehmillerKansas City, KS,
  • Monitored system proactively to resolve shipping incidences and inquiries Documented deficiencies and updated status information Acted as primary point of contact (POC) for intensive customer interaction on operational and performance issues Generated and prepared daily reports on shipping performance Prepared, maintained and analyzed various customer and internal reports, noting trends and actionable items Prepared action plans that maximize efficiencies while maintaining exceptional quality standards.
  • Negotiated contracts with outside providers to minimize costs to the company and customers.
  • Coordinated with freight forwarders to expedite international shipments.
  • Established transportation cost standards and economical shipping practices.
  • Key member of global distribution operations team that coordinated shipments across [Number] countries.
  • Conducted research on logistics operations, including literature reviews, interviews and site visits.
  • Reported inventory balances and cycle counts in both the ERP and WMS systems.
  • Monitored department performance data to identify and avoid potential risks.
  • Contacted customers prior to delivery to confirm and coordinate delivery times.
IT Help Desk Analyst, 11/2013 to 04/2014
Costar Group, Inc.Us-Ma Field Based, DC,
  • Answered internal /external phone calls to provide desktop and application support Documented and logged all interactions for problem ticketing system. Bridged communication between multiple departments to determine the root cause. Produced maintenance publication materials to reduce duration and overall impact.
Technical Support Specialist, 09/2010 to 09/2012
AT&T ASAP SolutionsCity, STATE,
  • Answered escalated incoming calls to solve technical issues.
  • Tested equipment and connections to identify and correct any issues.
  • Ran quality checks to verify correct functionality and optimal performance.
  • Exceeded target performance goal metrics to manage costs.
  • *Provided base level IT support to company personnel.
  • Resolved customer complaints and concerns with strong verbal and negotiation skills.
  • Displayed courtesy and strong interpersonal skills with all customer interactions.
  • Maintained composure and patience in face of difficult customer situations.
  • Processed an average of [number] inbound and outbound technical support calls.
  • Support customers with online billing and account issues.
  • Trained new employees and explained protocols clearly and efficiently.
  • Referred difficult issues to upper management while maintaining positive rapport with customer.
  • Informed customers about issue resolution progress.
  • Supported customers having data connectivity issues.
  • Provided thorough support and problem resolution for customers.
  • Managed IT setup and service requests for [Describe setting].
  • [Number] years of experience in Internet services.
  • Provided professional customer service consultations on [Describe subject].
  • Provided real-time support to everyday users of [Name of Product or Service].
  • Responded to customer service emails in a timely and effective manner.
  • Researched, resolved and followed up on customer issues.
  • Handled a large volume of phone calls, chat and emails.
  • Diligently followed up with customers about existing orders.
  • Maintained a calm, professional demeanor when faced with high demand, high volume workloads.
  • Soft-sold additional services.
  • Devised workarounds for problems.
  • Developed and maintained technical expertise in [Describe area].
  • Reviewed support cases for technical and troubleshooting accuracy.
  • Created new account, reset passwords and configured access for users.
Processed an average of [number] inbound and outbound technical support calls.
Enrollment, 06/2007 to
McKesson AdeccoCity, STATE,
  • Ensured that all customer needs are met and client compliance guidelines followed Verified the accuracy of contracts for processing Prepared a wide variety of routine correspondence including: letters, reports, memos, statistical charts, and other materials related to assigned responsibilities * Increased productivity through [action].
  • Entry Level - anything power words Increased, Initiated, Integrated, Managed, Monitored, Prepared, Proposed, Recommended, Recorded, Reduced, Represented, Researched, Resolved, Solved, Streamlined, Trained, Won, Advised, Consulted, Created, Developed, Documented, Ensured, Established, Guided, Identified, Improved
  • Recorded and filed patient data and medical records.
  • Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Strictly followed all federal and state guidelines for release of information.
  • Wrote clear and detailed clinical phone messages for physicians.
  • Directed patient flow during practice hours, minimizing patient wait time.
  • Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Maintained an organized logging system for tracking test results.
  • Prepared prescription refill requests on behalf of the physician.
  • Retrieved physician correspondence from dictation service and made edits when necessary.
  • Provided administrative support for three physicians.
  • Resolved and clarified issues with patient medications and collaborated with local pharmacies.
  • Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Received, organized and maintained all coding and reimbursement periodicals and updates.
  • Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
  • Confirmed patient information, collected copays and verified insurance.
  • Thoroughly reviewed remittance codes from EOBS/AR's.
  • Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
  • Completed appeals and filed and submitted claims.
  • Communicated with medical transcriptionists regarding patient medical records.
  • Applied payments, adjustments and denials into medical manager system.
  • Carefully prepared, reviewed and submitted patient statements.
  • Submitted refund requests for claims paid in error.
  • Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
  • Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Fraud Operations Analyst, 02/2007 to 06/2007
Chase Bank AdeccoCity, STATE,
  • Achieved Fraud Certification to analyze, determine risk, prevention and detection Performed routine to complex account maintenance Completed fraud reports according to guidelines.
Student Loan Advisor, 06/2006 to
MSA SolutionsCity, STATE,
  • Requested personal information for data entry Established rapport on incoming calls to assess customers' needs Personalized each phone call to build customer relationships.
Fraud Call Center Certification : Fraud, Expected in 2006
Rio Salado - Tempe, AZ
charts, contracts, client, data entry, documentation, fax, letters, materials, policies, publication, quality, rapport, shipping, phone

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  • Rio Salado

Job Titles Held:

  • Medicare Part D
  • Key Accounts Logistics Assistant
  • IT Help Desk Analyst
  • Technical Support Specialist
  • Enrollment
  • Fraud Operations Analyst
  • Student Loan Advisor


  • Fraud Call Center Certification

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