Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Over 15 years in customer service experience and managment.
- Data Entry - Receives insurer documents electronically to process into the Claim Information System (CIS). Sorts, renames, and saves documents according to procedure. Creates claim record and enters associated data into the CIS. Adds subsequent data received from insurer.
- Screening - Organizes insurer documents and injured worker reports received daily. Screens for completeness, consistency, and reasonability of data using division procedures. Checks documents against Claim Information System (CIS) database and determines if a claimant, a claim, a document, or data is already on the database. Processes documents according to established procedures. Forwards to Quality Control for resolution of discrepancies if necessary.
-Employer Reference - Researches and assigns the correct employer, work location, insurer, third-party administrator (TPA), claim processing location, and North American Industry Classification System (NAICS) code to the claim received from the insurer. Data enter the information into CIS.
- Standard Occupational Coding - Uses the information contained in insurer provided documents to interpret occupation and working title. Converts working titles into the appropriate Standard Occupational Code (SOC) using guidelines and procedures established by the U.S. Bureau of Labor & Statistics (BLS) and DCBS. Data enter the information into CIS.
- Causal Coding - Uses the written narrative contained in insurer provided documents to interpret accident description. Converts this information into Occupational Injury and Illness Classification (OIIC) codes utilizing guidelines and procedures established by the U.S. Bureau of Labor & Statistics (BLS) and DCBS. This information may include: nature of injury or illness, affected body part(s), event or exposure, and injury source(s). Data enter the information into CIS.
- Notice of Closure Entry- Reviews Notice of Closure (NOC) documents for accuracy and conformance with statute. Reviews permanent partial disability (PPD) for accuracy and consistency. Enters NOC and PPD information into CIS.
- Back up Reception - Assist in coverage for the reception which includes providing customer service along with directing all calls that come in.
- Date entry of all items through the site.
- Inputting correct auction item details and insuring correct item photo matches description.
- Quality control
- Mapping auction items
- Photo and video all auction items
- Pulling and putting away items for orders.
- Was in charge of implementing Mapping of auction items to sold references to help adjustors better gauge auction item market value.
- Assisted in overall day-to-day operations of store, including continuous development of effective store associates to achieve desired sales and results.
- Coached and developed store associates through formal and informal interactions.
- Oversaw aspects of maintenance, inventory and daily activity management.
- Set schedules and delegated assignments based on team strengths to optimize floor coverage and service levels.
- Led teams in planning, implementation and execution of merchandising and operating initiatives to streamline business effectiveness.
- Interviewed and vetted job applicants to make effective hiring decisions and fill vacancies with strong team members.
- Assisted customers, answered questions and resolved problems for stellar customer service.
- Trained staff on daily duties and supervised and provided feedback, resulting in improved performance and customer satisfaction.