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The Following Text Is An Unformatted Professional Resume Sample

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Yyyyyy x. yyyyyy

 

0000 xxxxxx xxxx , xxxx , xxxxx 00000
xxx-xxx-xxxx abc@xyz.com

 

 

 

Administrative Operations ~ Business Support ~ Clerical ~ Customer Service

 

Profile

 

  Performance-driven professional offering broad experience, with talent for rapidly adapting skills and mastering new knowledge illustrated by success in diverse roles and industries; specialization in insurance, medical and call center sectors

  Excel in strategically prioritizing, coordinating and managing workflow/projects to maximize efficiency, optimize use of time and resources and achieve aggressive deadlines and operational goals

  Proficient in conducting on-line research, complex data reviews/analyses and detailed information verifications for quality assurance and standards compliance

  Efficiently manage records and information systems, with solid background in data entry/database maintenance; skilled in MS Office (Word/Excel/Access) and well versed in medical terminology

  Customer-focused, with commitment to delivering world-class service; effective in identifying and addressing customer needs to ensure high satisfaction levels

  Dynamic communication and interpersonal relation skills instrumental to productively interfacing with clients, senior management, peers, and related business stakeholders

 

Professional Experience

 

Claims Examiner, Blue Cross Blue Shield of MN-Virginia, MN 2016-Present

  Proficiently review claims to ensure no duplication and determine need for additional processing as well as validate for approval or denial based on benefits coverage

  Expertly verify and analyze data supporting company claims settlements

 

Customer Service Rep, Mindlance-Gilbert, MN 2015-2016

  Provided exceptional service in promptly responding to inbound calls from dental providers and advising on dental benefits

  Thoroughly investigated denied claims for compliance and quality control

 

Home Health Aide, Interim Healthcare-Duluth, MN 2011-2013

  Delivered home health care services, from administering medications and observing and documenting changes in client health status to supervising and assisting with activities of daily living

 

Account Services Rep, Human Development Center-Duluth, MN 2007-2009

  Efficiently verified client insurance as well as updated changes to patient demographics

  Effectively coordinated adjustments with billing department

 

Claims Assistant/Customer Service Rep, St. Paul Travelers Company-St. Paul, MN 2004-2006

  Proficiently processed claims as well as entered claims along with automobile accident information in company database; additionally entered and posted checks in MS Excel database

  Managed varied office functions, from receiving and distributing mail, filing paperwork and pulling audit files through answering inbound calls from insurance agents, claimants and attorneys

  Efficiently reviewed status of claims and provided any required supporting information

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