Highly-qualified, professional, reliable, and driven with strong time management abilities. Claims Assistant with strong history of opening and closing case files, processing documents and updating logs. Prioritizes tasks and uses sound judgment to make decisions on claim processing actions. Well-organized and hardworking with good written and verbal communication skills.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Salvage Claims Assistant
Philadelphia Insurance Companies
03.2019 - Current
Sets up FNOL enters all information into claims management system
Inputs and reviews notes/diaries in claims management system as instructed
Processes mail/email, faxing and photocopying
Reviews, prepares, creates, and/or sends letters, reports, and forms
Other activities/projects as assigned including the preparation and distribution of computer reports.
Maintained strong relationships with service providers for seamless coordination during claim resolutions.
Coordinated effectively between multiple departments such as underwriting, finance and legal teams ensuring smooth flow of information throughout the claims process.
Boosted departmental productivity by cross-training on various roles within the claims team, providing backup support as needed.
Security Officer
Allied Security
03.2019 - 05.2023
Ensure the facility is provided with high quality security services to protect people and property
Report safety concerns, security breaches and unusual circumstances both verbally and in writing
Build, improve and maintain effective relationships with both client employees and guests
Answer questions and assist guests and employees.
Conducted thorough investigations into security incidents, documenting findings, and recommending appropriate actions.
Provided excellent customer service while addressing visitor inquiries or concerns related to facility safety or access control procedures.
Maintained a safe environment for employees and visitors through continuous risk assessment and threat analysis.
Underwriting Assistant/ Receptionist
NJ Cure Auto Insurance
11.2010 - 03.2019
Reviewed, scanned, and processed applications for all automobile insurance, including new applications, contract changes, and informal inquiries
Coordinated underwriting requirements by interacting with agents and underwriters
Ran Clue and Motor vehicle reports for risks
Processed applications for customers, including appropriate required state forms, brochures, and product specific policy delivery requirements
Excellent day-to-day customer service to agents, and management, either over the phone, at the front desk, or through electronic communication.
Maintained high levels of accuracy in data entry, reducing errors in policy issuance and minimizing potential losses.
Supported review, acceptance, or denial of new or renewal business after carefully reviewing all information.
Responded to customer requests via telephone and email and effectively answered questions and inquiries.
Medical Records Scan Technician
Peak Health Solutions
07.2008 - 11.2010
Completed release of information requests including retrieving patient’s medical charts, scanning medical records accurately daily, according to requests, established procedures, and established standards of quality and productivity
Maintained confidentiality, security and standards of ethics with all Company and medical records information including during transport, storage and disposal
Maintained equipment in excellent operating conditions
Maintained neat, clean, and professional personal appearance and observes the dress code
Carried out responsibilities in accordance with Company and client/site policies and procedures, including HIPAA regulations.
Streamlined processes for faster turnaround times with efficient scanning techniques.
Facilitated secure handling of sensitive information by adhering to strict confidentiality guidelines and protocols.
Supported team members by assisting with troubleshooting problems and sharing valuable knowledge about the scanning process.
Medial Billing Clerk
Princeton Anesthesia Services
05.2004 - 07.2008
Collected all information needed for anesthesia bills
Issued customer account statements periodically or whenever necessary
Updated all patient records with new information
Requested medical records for proper coding
Contacted medical providers for pre-certifications and authorization numbers.
Conducted regular audits of patient accounts, identifying inaccuracies or discrepancies that required correction or adjustment.
Ensured timely submission of claims by accurately preparing and submitting medical bills to insurance companies within specified deadlines.
Assisted management with analysis of financial reports related to billing activity and performance metrics for strategic decision-making purposes.
Education
Graduate -
Pennsbury High School
Fairless Hills, PA
Skills
Managing case files
Call Routing
Microsoft Office
Claims Processing
Policy Interpretation
Data Entry
Processing mail
Claim investigation
Insurance Claims Review
Team Collaboration
Decision-Making
Certification
Microsoft Office Certification, 2018, NJKRSD-180405-71127
SORA Certification, 04/2018
Timeline
Salvage Claims Assistant
Philadelphia Insurance Companies
03.2019 - Current
Security Officer
Allied Security
03.2019 - 05.2023
Underwriting Assistant/ Receptionist
NJ Cure Auto Insurance
11.2010 - 03.2019
Medical Records Scan Technician
Peak Health Solutions
07.2008 - 11.2010
Medial Billing Clerk
Princeton Anesthesia Services
05.2004 - 07.2008
Graduate -
Pennsbury High School
Microsoft Office Certification, 2018, NJKRSD-180405-71127
SORA Certification, 04/2018
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