Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Insurance Claims Specialist
Social Security Administration, SSA
08.2017 - Current
Evaluated and settled complex insurance claims in strict timeframes.
Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
Followed up with customers on unresolved issues.
Posted payments to accounts and maintained records.
Calculated adjustments, premiums and refunds.
Verified client information by analyzing existing evidence on file.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Prepared insurance claim forms or related documents and reviewed for completeness.
Maintained confidentiality of patient finances, records, and health statuses.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Delivery Driver
Independant
01.2022 - 12.2022
Developed and maintained professional relations between customer, store personnel, and company.
Verified orders prior to completing deliveries to avoid customer complaints.
Drove continuously during shifts, meet deadlines, and achieved high customer satisfaction ratings.
Planned optimal routes to deliver multiple orders per trip and achieve strong performance ratings.
Served customers promptly by smoothly collecting and delivering high volume of orders.
Met promised delivery times consistently by using GPS software to spot and avoid traffic delays.
Kept delivery vehicle clean and neat to maintain company's professional reputation.
Maintained accurate documentation of delivery logs, order information and customer contact details to enable tracking history and maintain accurate records.
Addressed issues and resolved customer complaints to establish trust and reliability.
Followed traffic laws during delivery for safety of pedestrians and other vehicles.
Education
Bachelor of Arts - Business Management
Kennesaw State University
Kennesaw, GA
05.2016
Skills
Claims Investigation
Policy Interpretation
Claims analysis
Claim Amount Calculations
Data Entry
New Policies Processing
Teamwork and Collaboration
Customer Service
Client Interviews
Policy Review
Active Listening
Documentation abilities
Appointment Scheduling
Analytical Thinking
Problem-solving abilities
Time management abilities
Timeline
Delivery Driver
Independant
01.2022 - 12.2022
Insurance Claims Specialist
Social Security Administration, SSA
08.2017 - Current
Bachelor of Arts - Business Management
Kennesaw State University
Similar Profiles
Priscilla Andrea GutierrezPriscilla Andrea Gutierrez
Customer Service Representative, CSR at Social Security Administration, SSACustomer Service Representative, CSR at Social Security Administration, SSA