Jennifer Eversman
Brighton,CO
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude and strong attention to detail. Willingness to take on added responsibilities to meet team goals.
Overview
21
21
years of professional experience
Work History
Claims Representative II
Pinnacol Assurance
09.2023 - Current
- Worked productively in fast-moving work environment to process incoming claims while investigating compensability.
- Maintained compliance with Division regulations by adhering to established procedures and guidelines in claims handling.
- Developed strong relationships with Members, facilitating trust and open communication during the claims process.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Analyzed claim trends to anticipate potential issues and proactively adjust processing strategies.
Claims Representative 1
Pinnacol Assurance
02.2023 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Manage medical only claims in a timely manner.
- Work with team members to resolve concerns.
- Provide authorization for services requested.
- Review medical records submitted by providers.
- Address red flags and elevate claims as needed.
Business Owner
First Response Cleaning
04.2016 - Current
- Established relationships with clients to better assess their needs.
- Reconciled daily sales, returns and financial reports in QuickBooks.
- Managed, trained and oversaw employees.
- Put together realistic quotes based upon costs, fees and profit margin.
- Oversaw business budget, hiring, scheduling, accounting functions, purchasing supplies and maintained payroll.
Preschool Assistant Teacher
Primrose Schools
02.2015 - 04.2016
- Worked as a team member assisting others as needed.
- Supervised children during in-classroom activities and on playground.
- Interacted with children one-on-one and in small groups to enhance and support learning activities.
- Communicated with parents to inform about child's progress and classroom behavior.
- Assisted teachers with developing creative programs suitable for preschool children.
Waitress
Olive Garden Restaurant
01.2005 - 04.2008
- Upheld high standards of professionalism when dealing with customer issues, supporting serving staff and waiting on tables.
- Assigned work tasks and coordinated activities of dining room personnel to provide prompt and successful service to patrons.
- Trained new employees on the computer system and for all positions including server, host and to-go specialist.
Education
High School Diploma -
Brighton High School
Brighton, CO04.2004
Skills
- Customer Service
- Work Planning and Prioritization
- Issue Resolution
- Integrity and Transparency
- Customer Accounts Management
- Quality Assurance
- Claims investigation
- Time management
Timeline
Claims Representative II
Pinnacol Assurance
09.2023 - Current
Claims Representative 1
Pinnacol Assurance
02.2023 - Current
Business Owner
First Response Cleaning
04.2016 - Current
Preschool Assistant Teacher
Primrose Schools
02.2015 - 04.2016
Waitress
Olive Garden Restaurant
01.2005 - 04.2008
High School Diploma -
Brighton High School