Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jacqueline Datka

Sussex

Summary

I am applying for the Patient Service Representative. I am just the person you are looking for. I have phone, customer service, Microsoft, and a little exposure to Epic. I have worked with medical practices, health insurance and Medicare experience (I was the Medicare expert). I met and exceeded my yearly goals with a consistent Above Target rating on my review.


I am a leader and pride myself on treating customers as I want to be treated. I feel good with my ability to help customers. I was a Subject Matter Expert in problem solving processes and procedures to make the customer's experience better and faster. I trained new employees and was a goto on our team for questions.


I am professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.


I haven't worked in the last two years due to medical issues, but I am better than ever and looking forward to working for you.

Overview

22
22
years of professional experience

Work History

Senior Claim Adjuster Medical

American Family Insurance
10.2001 - 10.2023
  • Evaluated and processed insurance claims, ensuring compliance with company policies and regulations.
  • Collaborated with clients to gather necessary documentation for accurate claim assessments.
  • Conducted thorough investigations into claims, identifying discrepancies and mitigating fraudulent activities.
  • Developed and maintained strong relationships with policyholders, providing clear communication throughout claims process.
  • Handled injury claims for the last 11 years settling minor claim and expensive claims.
  • Led training sessions on new software tools to improve team productivity and accuracy in claim handling.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.

Education

Bachelor of Administration - Business Management

Herzing
Brookfield, WI
05-2027

No Degree - Liability And Injury Certification

Insurance Institute
Madison, WI
03-2016

Skills

  • Claims investigation on sever or high valued claims
  • Injury assessmentreviewed medical records, bills, pain for value
  • Medical expense payments coordination of benefits
  • Medical claims for the last 11 years
  • Customer Service ratings of Above Target for last 15 years
  • IP3 Phone system with interaction client
  • Microsoft 365
  • problem solving

Timeline

Senior Claim Adjuster Medical

American Family Insurance
10.2001 - 10.2023

Bachelor of Administration - Business Management

Herzing

No Degree - Liability And Injury Certification

Insurance Institute