Jennifer Bermudez
Frankfort,IL
Summary
Dynamic claims adjuster with drive and experience providing a superior level of customer service to clients. Bringing forth the ability to properly investigate a situation and resolve claims quickly in accordance with company and regulatory guidelines. Demonstrating consistent execution of best claim practices and a commitment to industry and company ethics.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Adjuster- Represented/ Unrepresented B.I.
Empathy Claims
05.2022 - Current
- Investigate liability claims involving personal injuries and/or third-person property damage from liability situations, making detailed nots throughout the claims investigation and conducting recorded statements
- Serve as liaison between clients, insureds, claimants, and attorneys to review insurance claims, assess medical treatment and billing records, site inspections, and Demand Packages
- Ensure compliance with state regulations, quality standards, and client company's insurance policies throughout the claims process and settlement
- Conducted analysis on claims exposure, performed loss valuations, and identified ideal course of action to ensure timely settlement of claim
- Determined and executed proper disposition plans on all claims and negotiated claims to a conclusion to minimize litigation where appropriate.
Clinical Manager
All Smiles Orthodontics
01.2019 - 05.2022
- Oversee daily clinic operations and ensured compliance with all state and federal regulations, including HIPAA and OSHA.
- Organized and conducted staff meetings to ensure open communication and collaboration.
- Managed the budget and financial operations of the clinic, including payroll and accounts payable/receivable.
- Developed and maintained positive relationships with patients, staff, and vendors.
- Implemented strategies to improve clinic efficiency and patient satisfaction.
Clinical Assistant
International Dental
01.2017 - 01.2019
- Managed patient records and insurance claims, resulting in an improved accuracy rate and a reduction in claim processing time.
- Collaborated with dental providers to ensure timely and accurate patient treatment plans
- Managed patient charts and updated patient information in accordance with HIPPA
- Coordinated training for office and clinical staff for compliance with Federal and State Regulations, including OSHA, HIPPA, and risk management training
- Monitor patient relations
Education
Associate of Science - Health Sciences
Joliet Junior College
Joliet, ILBachelor of Science - Nursing
Rasmussen College
Romeoville, ILSkills
- Legal Proceedings Knowledge
- Casualty and Property Loss
- Insurance Policy Coverage Knowledge
- Texas Claims Adjuster License (DHS)
Certification
Texas (DHS)
Arizona
North Carolina
South Carolina
Connecticut
Georgia
New Mexico
Alaska
Minnesota
Louisiana
Arkansas
Kentucky
Minnesota
Washington
Oregon
Languages
Spanish
Native or Bilingual
Timeline
Claims Adjuster- Represented/ Unrepresented B.I.
Empathy Claims
05.2022 - Current
Clinical Manager
All Smiles Orthodontics
01.2019 - 05.2022
Clinical Assistant
International Dental
01.2017 - 01.2019
Associate of Science - Health Sciences
Joliet Junior College
Bachelor of Science - Nursing
Rasmussen College
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