Martina Downs
North Las Vegas,Nv
Summary
Versatile Fine Dining Server adaptable to changing menu items, guest preferences and restaurant standards. Easily steps into any foodservice role with ease. Over 5 years of fine dining service experience. Adept at maintaining food safety, delivering orders quickly and meeting all guest needs in fast-paced fine dining establishments. Experienced in restaurant and special event services for weddings, reunions and other parties.
Overview
8
8
years of professional experience
Work History
Nevada claims adjuster
CCMSI TPA
10.2023 - 05.2024
- Handle over 100 claims, Pay TTD, PPD, TPD ect..., Calculate PPD's offer EOM, Compliance letters, Calculate wages, Make determination on claims, Follow client guidelines
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management.
Claims rep
Employers preferred workers compensation insurance company
01.2021 - 09.2023
- Making work status calls, Producing forms for Ca,LA,NV, and 10 other states, Sending out notices to injured workers, QME panels packages, Assistant to Claims Adjuster
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Server/Host
Longhorn Steak House
08.2018 - 07.2020
- Served guests, Responsible for multiple tables at a time, Taking care of each guest's needs and exceeding them, Additional duties
- Served food and beverages promptly with focused attention to customer needs.
- Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
- Worked with POS system to place orders, manage bills, and handle complimentary items.
- Collaborated with team members during busy shifts for efficient workflow and excellent guest experiences.
- Cultivated warm relationships with regular customers.
- Enhanced customer satisfaction by promptly attending to their needs and providing personalized service.
- Assisted in training new hires, providing guidance on restaurant standards and best practices.
Customer Service representative (remote)
RDI corporation WFH health care advocate
09.2020 - 01.2021
- Looking up claims, updating EOB/COB, UHC/Cigna/Anthem contracted rep, Coding procedures, Annual enrollment benefits, Helping callers with any health care problem as a health care advisor, Extreme high volume data entry, Process and resolve patient complaints
Party host/ Server
Chuck E. Cheese
03.2016 - 08.2018
- Took care of huge parties, including serving, cleaning, dancing and singing with them, Side work, Helped cool prep
- Supervised children's activities, maintaining happiness, safety and well-being.
- Enhanced guest experience by providing exceptional customer service and creating a fun atmosphere for events.
- Handled any unexpected issues or emergencies calmly and professionally, maintaining a positive atmosphere during events.
- Maintained cleanliness standards throughout events to provide an inviting environment for guests while adhering to health codes.
- Resolved conflict to maintain fun, positive and safe event environments.
- Provided support during high-volume periods by assisting other hosts in managing multiple parties simultaneously without sacrificing quality of service provided at each event.
Education
BBA - Business
Ottawa University
Surprise, AZ08.2022
GED -
Prairie High School
Battle Ground, WA06.2018
Skills
- Experience with insurance, claims, and medical terminology and coding
- Detail Oriented
- Strong Communication Skills
- POS system operations
- Exceptional customer service
- Bachelors degree in Business and Communications
- Customer Service
- Teamwork-oriented, easy-going, positive, resolving conflicts
- Leads by example
- Fast paced serving
Activities
- Salvation Army volunteer, 03/01/17, 2018
- Soup kitchen volunteer, 08/01/15, 2018
- Club Softball, 07/01/12, 2020
- Highschool softball, 08/01/15, 2018
- Special-needs Olympic basketball team volunteer, 2016, 2017
Timeline
Nevada claims adjuster
CCMSI TPA
10.2023 - 05.2024
Claims rep
Employers preferred workers compensation insurance company
01.2021 - 09.2023
Customer Service representative (remote)
RDI corporation WFH health care advocate
09.2020 - 01.2021
Server/Host
Longhorn Steak House
08.2018 - 07.2020
Party host/ Server
Chuck E. Cheese
03.2016 - 08.2018
BBA - Business
Ottawa University
GED -
Prairie High School