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Click here or scroll down to respond to this candidate Candidate's Name
Street Address PHONE NUMBER AVAILABLE
EMAIL AVAILABLE
To obtain a job position of insurance for Claim Examiner or Claim Adjuster position that s in customer
service-oriented environment where my previous work experience, and hard-working approach that will
have valuable purpose in insurance field. I would like to offer my qualification and other skills for your
company.
EXPERIENCE
10/17/2022 01/27/2023
DESK ADJUSTER, ACCC INSURANCE
Achieve performing daily auto claim in fast-paced team environment.
Handled all reviewing pending claims, managed diaries, and moving files to closure using
company procedures and job aids.
Ensured legal compliance by following guidelines, company policies, state federal
insurance regulations.
02/24/2021 07/29/2022
CLIENT SERVICE REPERSENTAIVE, QUEST DIAGNOSTICS
Handle all inbound customer contacts received by telephone, electronically, in writing
regarding reporting of patient results, inquiries of tests and services, concerns of service
failures and other duties to provide superior service.
Reporting laboratory results to clients and patients.
05/18/2018 06/24/2020
PATIENT CARE COORDINATOOR, THE PILL CLUB
Reviewed patient's questionnaire to ensure completeness and follow up with the
patients for any additional information.
Provided accurate information about PC healthcare services; referred consultation
questions to our specialist team members.
Determined insurance eligibility for relevant services also corresponds to patients
request via SMS/Email in a timely manner.
Provided Exceptional customer service to each patient.
04/04/2016 03/2018
SUBROGATION SPECAILIST, ALLSTATE INSURANCE
Assisted in the recovery of overpayments for duplicate coverage, and no-fault claims.
Identifies legal liability and pursues, negotiates, and settles subrogation collection.
Researched paid claims, answers inquiries, and coordinates with other departments,
insurance adjusters, attorneys, and members.
Interacted with policyholders, claimants, witnesses, and underwriters to recommend and
document the necessary information to close a file.
Collected information as needed to determine when an on- site investigation is
necessary.
02/09/2013 03/21/2015
CLAIM ASSOCAITE-IL, STATE FARM INSURANCE
Interviewed claimants, medical specialists, and employers to determine pertinent claim
information.
Attended anti-fraud training's, conferences, client SIU trainings and industry seminars.
Conducted interviews, gathered detailed information, and completed field investigations.
Identified and collected evidence and determined its value to specific claims.
EDUCATION
JUNE 2003
HIGH SCHOOL DIPLOMA, UNIVERSITY HIGH SCHOOL, WACO TX
All high school course that was required as well as extra curriculum
AUGUST 2005 -INCOMPLETE
ENVIRONMENTAL HEALTH AND SAFETY, TEXAS STATE TECHNICAL COLLEGE-
WACO
No Degree currently.
SKILLS
Communication Skills Data Entry
Customer Service Skills Claims Adjusting
Liability determination
LICENSES AND CERTIFICATIONS
Adjuster License Texas Resident State
(Texas, Florida, Michigan)
State Farm Auto
State Farm Property & Estimatics
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