April Jones
Macon,GA
Summary
Skilled in interviewing, records searching and documentation. Excellent critical thinking and organizational abilities. Proficient in insurance policy coverage levels, industry practices and compliance requirements. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Overview
11
11
years of professional experience
Work History
Claims Representative
GEICO, Government Employees Insurance
Macon, GA
05.2016 - Current
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Compiled data from multiple sources for reporting purposes.
- Performed periodic audits of closed files to ensure accuracy of documentation and compliance with regulations.
- Resolved disputes between claimants and providers through negotiation.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Maintained open communication with team members and stakeholders, resulting in successful project outcomes.
Branch Manager
Complete Cash
Cordele, GA
03.2013 - 05.2016
- Reviewed loan applications to ensure accuracy and compliance with regulations.
- Directed daily operations of the branch, including customer service, human resources, sales and marketing activities.
- Managed staff scheduling, hiring and training processes.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Organized professional development programs for employees at all levels of the organization.
- Increased efficiency and drove branch revenue by optimizing daily operations.
- Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
Education
Associate of Science - Business Administration
Colorado Technical University
Colorado Springs, CO11-2023
Bachelor of Science - Business Administration
Colorado Technical University
Colorado Springs, COSkills
- Conflict Resolution
- Interpersonal Communication
- Flexible Schedule
- Decision-Making
- Team Collaboration
- Accident Review
- Workers Compensation
References
References available upon request.
Affiliations
National Society of Leadership and Success
Phi Theta Kappa International Honor Society
Timeline
Claims Representative
GEICO, Government Employees Insurance
05.2016 - Current
Branch Manager
Complete Cash
03.2013 - 05.2016
Associate of Science - Business Administration
Colorado Technical University
Bachelor of Science - Business Administration
Colorado Technical University