Summary
Overview
Work History
Skills
Certification
Timeline
Generic

DULCE BERNIER

Canyon Lake,CA

Summary

Knowledgeable customer service professional with extensive experience in the occupational injury industry. A team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Customer Service Representative

R&R PLUMBING
Murrieta, CA
03.2021 - Current
  • Answer phones in office or in remote location as needed
  • Provide customer service and arrange scheduling between customers and plumbers
  • Dispatch plumbers to correct location and provide with all details necessary to ensure client satisfaction
  • Keep up to date log of services provided and handle customer complaints

Driver

Lyft
, CA
07.2019 - Current
  • Pick up passengers and provide a pleasant, clean and safe ride to their desired destinations
  • Greet every passenger in a friendly manner, calling them by name and having a pleasant demeanor, provide friendly conversation and atmosphere and make sure the rider leaves content with the service provided

STAY AT HOME MOM

SELF EMPLOYED
Canyon Lake, CA
01.2014 - 03.2021
  • Manage household with the various responsibilities of caring for 2 children
  • This includes all primary caregiver duties such as bathing, dressing, teaching, cooking and preparing of meals, cleaning, problem solving and conflict resolution
  • Set up doctors’ appointments as well as provide any transportation needed for doctors’ appointments, sports practice, games and school
  • Maintain family budget; responsible for timely payments as well as keep and maintain an account of all household bills/finances
  • Regularly volunteer at both children’s classrooms by assisting with projects and tutoring of children who have fallen behind on schoolwork or need extra attention with a particular subject
  • Taught myself how to work with copper and sterling silver wire and soldering of metal and have started my own business on Etsy making jewelry.

Claims Examiner / Medical Only Claims Examiner / Claims Assistant

TRISTAR RISK MANAGEMENT
Rancho Santa Margarita, CA
10.2007 - 01.2014
  • Effectively manage a full caseload, including complex claims
  • Investigate and determine compensability of claims and administer benefits of L.C 4850/Salary Continuation/Temporary Disability/wage loss as determined to be due
  • Follow claimants’ progress and ensure optimal resolution of claim; manage medical treatment, authorize follow-up appointments/diagnostic testing/physical therapy, maintain diary or log of claimants progress with steps taken or required to bring case to an end
  • Receive, investigate and authorize payments of bills from providers
  • Process claims consistent with both clients' and corporate policies and procedures in accordance with any statutory, regulatory as well as ethics requirement
  • Refer cases to defense counsel, directing and managing as appropriate and enter notes in computer system documenting tasks completed

Claims Assistant

PINNACLE RISK MANAGEMENT SERVICES
Las Vegas, NV
11.2004 - 08.2007
  • Filed and processed mail, prepared and mailed determination letters to claimants, set-up doctor appointments/PPD appointments, prepared medical records for doctor, assisted claims adjusters in different aspects of claim administration, translated for Spanish speaking injured workers, reviewed payment status with providers.

Security Screener

TRANSPORTATION SECURITY ADMINISTRATION
Las Vegas, NV
11.2002 - 11.2004
  • Responsible for security screening and IED (explosives) detection of passenger baggage, responsible for the safety of passengers and their property

Skills

  • Bilingual –speak, read and write English (native) and Spanish (advanced)
  • Computer and medical terminology literate
  • Experienced with Microsoft Word and Excel
  • Highly organized
  • Team Player (or work independently, as needed)
  • Able to work with and meet deadlines

Certification

WCCA ( Workers Compensation Claims Administration) Certificate

Self Insured Professional Certificate

Timeline

Customer Service Representative

R&R PLUMBING
03.2021 - Current

Driver

Lyft
07.2019 - Current

STAY AT HOME MOM

SELF EMPLOYED
01.2014 - 03.2021

Claims Examiner / Medical Only Claims Examiner / Claims Assistant

TRISTAR RISK MANAGEMENT
10.2007 - 01.2014

Claims Assistant

PINNACLE RISK MANAGEMENT SERVICES
11.2004 - 08.2007

Security Screener

TRANSPORTATION SECURITY ADMINISTRATION
11.2002 - 11.2004
DULCE BERNIER