LiveCareer-Resume

public adjuster apprentice resume example with 12+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Dedicated and technically skilled business professional with a versatile administrative support skill set developed through experience as an office manager, administrative assistant and office clerk.

Excel in resolving employer challenges with innovative solutions, systems and process improvements proven to increase efficiency, customer satisfaction and the bottom line

Skills
  • Motivational Leadership
  • Performance Management
  • Verbal and Written Communication
  • Billing Data Verification
  • Schedule Coordination
  • Report Preparation and Analysis
  • Discrepancy Resolution
  • Dispute Negotiation
  • Microsoft Office
  • Negotiation and Resolution
  • AR Aging Reports
  • Credit and Collections
  • Attention to Detail
  • Conflict Resolution
  • Analytical and Critical Thinking
  • Organizational Skills
  • Time Management
  • Denial Appeals Process
Education
University of Tampa Tampa, FL, Expected in ā€“ ā€“ Bachelor of Science : Biochemistry - GPA :
Technical Career Institute Miami, FL, Expected in 1999 ā€“ ā€“ Associate of Science : Pharmacy Technician - GPA :
Miami Coral Park Senior High School Miami, FL Expected in 1998 ā€“ ā€“ High School Diploma : - GPA :
Certifications

0620-Adjuster-All Lines

Xactimate Version 28 Fundamentals/ Proficiency Training Course.

Work History
Consulting Adjuster Apprentice - Public Adjuster Apprentice
City, STATE, 03/2018 - Current

Handled investigation of new claims, evaluated property damage losses.

Interviewed and corresponded with property owners, lawyers, witnesses and insurance companies. Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.

Evaluated insurance policies and analyzed damages to determine coverage. Assessed damages and determined repair cost on insurance claim.

Documented and communicated all claim activity in a timely and effective manner.

File accurate reports and paperwork with customers. Complete research to analyze the market value.

Estimate the cost of restoration and negotiate with the home owner/ business owner's insurance company on their behalf to help them recovered the highest settlement.

Milaidis Echezarraga DD, PA - Dental Billing and Coding Specialist
City, STATE, 02/2013 - 02/2018

With over 20 years of experience in billing and collections of patient accounts in a fast-paced dental environment. Knowledge of dental electronics health record and billing systems; strong understanding of CDT & CPT billing /coding and compliance. Exceptional experienced working with private, HMO and PPO insurance. Acquaintance with Dentrix, Eagle-soft and Microsoft Office.

Processed, examined and analyzed patient's dental record for accurate coding procedure. Submitted electronics dental claims to insurance companies. Supervised, verified and resolved denied claims, including appeals for non-payments, resulting in the collection of $85,000.00 profit to the company.

Reviewed and completed overpaid/ underpaid reports. Responsible to process insurance and patients refunds. Reviewed EOB's to ensure claims paid correctly. Assisted in all areas of administrative work including maintained office CE Credits, CPR Renewal's, Re-Credentialing and Seminars.

Schedules and processed bi-weekly staff payroll and managed accounts receivable. Managed incoming and outgoing calls to resolved patients billing questions. Communicated and build a positive relationship with assigned patient.

Identifying areas of strength, weakness and ways to achieved better performance. Ensuring that the practice is up to date with current regulatory requirements.

Blanco-Jamis Dental Group, Inc - Office Manager / Dental Billing & Coding
City, STATE, 02/2009 - 01/2013

Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities. Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.

Providing the practice owners with daily and weekly reports on the practices progress and short comings. Received patients and ensure their comfort and satisfaction with office visit. Assisted patient in understanding their dental benefits. Processed telephone credit card and electronic payments.

Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping. Knowledge and strong understanding of CDT & CPT billing/ coding and compliance.

Processed, examined and analyzed patient's dental record for accurate coding procedure. Manage files, reports, billing of copays, deductibles, and outstanding balances. Submitted electronics dental claims to insurance companies and ensuring timely submission for company or patient compensation . Supervised, verified and resolved denied claims, including appeals for non-payments, resulting in the collection of $90,000.00 profit to the company.

Reviewed and completed overpaid/ underpaid reports. Responsible to process insurance and patients refunds. Reviewed EOB's to ensure claims paid correctly. Assisted in all areas of administrative work including maintained office CE Credits, CPR Renewal's, Re-Credentialing and Seminars.

Schedules and processed bi-weekly staff payroll and managed accounts receivable. Managed incoming and outgoing calls to resolved patients billing questions. Communicated and build a positive relationship with assigned patient.

Identifying areas of strength, weakness and ways to achieved better performance. Ensuring that the practice is up to date with current regulatory requirements and compliance.

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Resume Overview

School Attended

  • University of Tampa
  • Technical Career Institute
  • Miami Coral Park Senior High School

Job Titles Held:

  • Public Adjuster Apprentice
  • Dental Billing and Coding Specialist
  • Office Manager / Dental Billing & Coding

Degrees

  • Bachelor of Science
  • Associate of Science
  • High School Diploma

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