Residual Market Underwriter resume example with 7+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

A dedicated, ethical, and results-driven customer service professional with over a decade of progressive experience in the customer service arena with an unwavering commitment to building productive relationships, resolving complex issues, and winning customer loyalty. Motivated to achieve customer satisfaction and contribute to company success by utilizing strong time management, communication, and prioritization skills. A passionate job seeker with strong organizational skills eager to secure entry-level information technology help desk position.

  • Risk Assessment
  • Damage Assessment
  • Conflict Resolution
  • Interpersonal Communication
  • Customer Service Expertise
  • Bilingual in English and Haitian Creole
Work History
Residual Market Underwriter, 11/XXX1 - Current
Adventist Health System Orange City, FL,
  • Reviewed applications for insurance coverage and reports from loss control specialists to determine risks.
  • Evaluated risk information, exposure, and accurate premium through sound review, investigation, and analysis of all relevant information including claim history, audit results, online database searches.
  • Analyzed and confirmed coverage of claims that meet specific conditions, such as accidents that occur outside the covered states or outside the policy term.
Consumer Access Specialist, 09/2014 - Current
Metromile San Francisco, CA,
  • Quickly registered patients into database for labor checks or emergency room visits within 1-2 minutes time, while gathering and verifying all required customer information for tracking purposes.
  • Edited and created office documents using software like Microsoft Word, and Excel, while utilizing multi-systems to complete patient's accounts such as Cerner, Experian, Availity, etc.
  • Responded to patient emails regarding account questions, insurance benefits, and payment within 24-hour period.
  • Placed clear and thorough financial assessments, authorizations/pre-certs, benefit memos on patient accounts.
  • Constantly collected payments due from patients during their time of service when applicable to assist team in achieving team collection goal.
  • Verified patients’ eligibility and claims status with insurance companies (commercial, auto, and government) prior to or during hospital visits.
  • Maintained an audit score between 97-100% for accuracy on account documentation and accuracy of data entry.
  • Florida Agricultural and Mechanical University - Tallahassee, FL

Bachelor of Science: Biology, April 2012

  • Seminole State College of Florida - Sanford, FL

Bachelor of Science: Information System Technology, Currently Enrolled

  • Licenses: 620- Adjuster- All Lines, April 2019

License Number: W164596

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Resume Overview

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    Job Titles Held:

    • Residual Market Underwriter
    • Consumer Access Specialist


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