progressive claim administrator resume example with 12+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
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Summary
Analytical Professional, proficient in information gathering, report preparation and data compilation capabilities. In-depth knowledge of insurance coverage forms, procedures and policies. Accommodating and logical individual skillful in creating customized requests for each client. Possess a ten plus year customer administration track record as an ethical professional, consistent with completing tasks that maximize corporate performance that drive organizational needs as well as proactively mentoring, motivating, and leading high-performance development teams.
Skills
Reliable and trustworthy
Data management
Organization
Project planning
Coordination
Active listening
Time management
Microsoft Office
Multitasking
Team building
Problem resolution
Computer skills
Conflict resolution
Training & Development
Experience
Progressive Claim Administrator, 12/2016 to 11/2018 Brightwheel – Austin, TX,
Collected risk factor data from potential clients to improve company revenue.
Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records.
Coded claims forms and mediated disputes between carriers and clients.
Recommended and communicated goals to help team excel against targets.
Reviewed settlements, litigation and team best practices to maintain high standards of quality.
Developed and implemented operational plans and procedures to enable successful team operations.
Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
Verified liability extent with reviews of police reports, medical treatment histories and other records.
Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
Scheduled service appointments for in home service checks through authorized service providers for all eight (8) Electrolux brands.
Provided technical support and troubleshooting to Electrolux brand owners to incorporate brand awareness and customer satisfaction.
Displayed exemplary work ethic by adhering to company guidelines and policies, desire to strive toward goals, and showed tenacious drive in day to day assignments.
Engaged customers to form lasting relationships while focusing on company growth and revenue gains.
Recommended, selected and helped locate merchandise based on customer needs and desires.
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
Provided advice and front-line expertise to internal committees in order to improve team, service and procedural standards.
Customer Care Agent, 12/2007 to 12/2009 Envision Healthcare – Edmonds, WA,
Resolved customer issues associated with their account, phone, and hardware problems to maintain brand satisfaction.
Made complex decisions that affected the consumer/organization.
Those decisions required saving the consumer and organization money, adhered to organizational policies, and maintained proprietary information.
Kept up to date with the companies evolving technology by focusing on consumer needs, up sales that consumers could utilize were on a consistent basis, therefore generating revenue for the company.
Trained and provided performance feedback to peers, front line customer service representatives; recognized their achievements, and participated in the preparation of their future developmental plans.
Interviewed customers regarding telecommunication issues and reported feedback to management team.
Created and implemented process improvements to reduce workloads and bolster callback efficiency.
Informed customers about billing procedures, processed payments and provided payment option setup assistance.
Administrative Medical Assistant, 07/2000 to 07/2008 U.S Army – City, STATE,
Maintained workflow within the organization by implementing cost reductions, and developed reporting procedures.
Created and revised system procedures by analyzing operating practices, recordkeeping systems, forms control, office layout, and budgetary and personnel requirements; implemented changes that would override existing flaws in medical information systems and supply chain.
Developed administrative staff by providing information, educational opportunities, and experiential growth opportunities.
This development enabled doors to open for individuals that they did not know existed previously such as continual education, certifications, and training classes.
Resolved administrative problems by coordinating preparation of reports, analyzing data, and identifying solutions.
Compiled physical and digital documents, charts and reports to meet business and patient need.
Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
Conducted patient intake interviews to collect medical information and insurance details.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Education and Training
Master of Business Administration: Management, Expected in 2015 to American InterContinental University - Schaumburg, IL GPA:
Bachelor of Business Administration: , Expected in 2013 to American InterContinental University - Schaumburg, IL GPA:
Coursework: Principles of Marketing, Principles of Accounting, Managerial Accounting, Management and Leadership of Organizations, Financial Management, Budgeting, Human Resource Management, Employment and Labor Law, Team Leadership, Technology Management, Managing High Performance, Project Management, Management Information Systems, Supply Chain Management and Purchasing: , Expected in to - , GPA:
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Resume Overview
School Attended
American InterContinental University
American InterContinental University
Job Titles Held:
Progressive Claim Administrator
Customer Engagement Specialist
Customer Care Agent
Administrative Medical Assistant
Degrees
Master of Business Administration
Bachelor of Business Administration
Coursework: Principles of Marketing, Principles of Accounting, Managerial Accounting, Management and Leadership of Organizations, Financial Management, Budgeting, Human Resource Management, Employment and Labor Law, Team Leadership, Technology Management, Managing High Performance, Project Management, Management Information Systems, Supply Chain Management and Purchasing