Customer Service, Claims Representative with over 6 years' experience in medical, auto insurance, billing and claims. Motivated, proficient leader. Looking for a long lasting career with the ability to be on a great team and room to grow.
Overview
16
16
years of professional experience
Work History
Auto Claims Adjuster II
GEICO
Indianapolis, IN
08.2022 - Current
Processing first notices of loss. Taking inbound calls.
Interviewed policyholders, gathered evidence, and used third parties as needed to determine liability and to determine if it is appropriate to afford, disclaim, or deny coverage.
Opening appropriate exposures and setting appropriate reserve lines for the claim.
Responded to policyholders, attorneys, claimants, adverse carriers, and other interested parties in a timely manner regarding the status of the claim or any other questions and concerns.
Recognized fraudulent claims activity or alarming specifics to the claim, meriting an SIU or underwriting referral.
Account Manager
Pristine Medical Billing
Temecula, CA
01.2018 - 08.2024
Developed and maintained relationships with key accounts to ensure customer satisfaction and medical billing for 30-50 practices nationwide.
Submitting medical claims, following up on the claims until paid, appealing medical claims for practices. Specifically, medical billing for dentists.
Obtaining and providing updates to my clients on insurance authorizations, as well as claim updates.
Patient Coordinator
Center For Sleep Excellence
Murrieta, CA
09.2012 - 07.2015
Patient coordinator for a sleep center.
Scheduling, obtaining authorization for sleep studies, preparing home sleep tests to be sent out, tracking the devices, uploading, and then interpreting data once received, providing the patient with the next steps, and follow-up.
Answering and transferring calls throughout the office.
Corresponding care with other offices.
Faxing and emailing documents.
Sending out billing requests.
Customer Service Representative
TLC Companies
Chesterton, IN
05.2011 - 09.2012
Customer Service Representative for over 30 clients in the trucking industry.
Screening prospective employee applicants. By running background checks, MVR reports, DAC/CDLIS reports, and employment verification.
Maintaining employee files and maintaining DOT compliance.
Sending/responding to emails, answering/transferring phone calls from clients and potential employees of our clients.
Event planning for employee functions.
Front Desk Staff/Customer Service
Hilton Garden Inn
09.2010 - 05.2011
Providing excellent customer service to all guests.
Manager on Duty.
Checking guests in and out.
Making guest reservations.
Handling any guest problems or concerns.
Employee Training.
Answering and transferring phone calls.
Cash/credit card handling.
Front Desk Staff/Customer Service
Hampton Inn
10.2008 - 08.2009
Providing excellent customer service to all guests.
Manager on Duty.
Checking guests in and out.
Making guest reservations.
Handling any guest problems or concerns.
Employee Training.
Answering and transferring phone calls.
Cash/credit card handling.
Customer Service Consultant/Internet Sales
Arnell Auto Group
Responded to customers' inquiries via phone call and email in regards to online sales leads.
Answered phone calls and transferred calls on multiple lines throughout the dealership.
Made appointments for customers for sales and service.
Handling customers' questions and issues.
Sent out marketing material.
Ensured compliance with company policies and procedures when dealing with customers.