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Customer Service Property Claims

Location:
San Antonio, TX
Posted:
October 26, 2023

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Resume:

Jamar Walton

San Antonio, TX *****

ad0m85@r.postjobfree.com

+1-210-***-****

A results driven highly motivated team member with several years experience in various professional customer service environments. I've demonstrated excellent organizational and analytical skills with a positive customer approach with a good attention to detail. I believe I have the knowledge and necessary skills to come into this role and make a immediate impact within the organization Thank you in advance for your time and consideration. Authorized to work in the US for any employer

Work Experience

Package Handler/Sorter

FedEx Ground - San Antonio, TX

August 2023 to Present

• Quick and fast pace warehouse package handler responsible for fulfilling the logistics behind receiving, processing and storing inventory according to purchase orders and vendors policy.

• Also ensure that shipping schedules are met with attention to detail to ensure timely delivery and loss prevention

• Abide by all company safety and hygiene regulations while performing the duties required at a top level Customer Service Associate

Bread Financial - San Antonio, TX

October 2022 to Present

• Remote Incoming collections high call volume center

• Educate customers on the products and services that their credit card provide

• Assist with the coordination and conduct the low-risk supplier assessments on potential new engagements

• Under regulation E did review and investigate any unauthorized entry transactions while educating the customer on how to prevent such fraudulent transactions from happening Customer Support Specialist

Wells Fargo - San Antonio, TX

August 2021 to September 2022

Fast pace High volume call center.

• Support customers with inquiries on financial products and services

• Identify ways to improve customer experience within established procedures

• Perform routine customer support tasks by responding to and resolving customer inquiries and complaints

• Study and followed up on updates regarding Z Dodds frank act as well as regulation e Property Claims Specialist/ Check Processor

SWBC MORTGAGE - San Antonio, TX

August 2020 to April 2021

• Inbound fast-paced call center worked remotely claim specialist utilizing a dual monitor system.

• Communication with the homeowner contractors or authorized 3rd parties in regards to the property repair process.

• Adjust and process moderately complex to highly complex property claims. These claims include structure damage involving moderate to high dollar value and severity, personal property claims and additional Living Expense (ALE

• Order and review inspection results to ensure repairs are being done accordingly per the estimate and inspection report. Determine disbursement eligibility per our processing guidelines thru the online to determine the amount of funds to distribute.

Customer Service Associate

Alliance Data - San Antonio, TX

June 2017 to March 2020

• Maintain a high volume of calls via in/outbound calls generated revenue of a million-plus for the company.

• Assisted customers with redemptions, disputes & inquiries regarding loyalty reward programs that span for many of the brand partners.

• Navigate via dual monitor system to field question that customers had regarding monthly statements, fraud charges, and billing

• Handle late fee inquiries and waivers based on the clients and our policies. Enrolled customers in certain programs based on financial delinquency

• Familiarize with regulations E and Z while performing exceptional customer service Customer Service Representative

Johns Hopkins Health System - San Antonio, TX

September 2015 to March 2017

• Provide accurate information regarding Medicaid benefits for Maryland providers as well as the surrounding areas.

• Establish and execute a plan of action to achieve favorable claim resolutions.

• Answer all provider questions regarding members who currently are covered through the state or have a self-funded PPO plan.

• Update account verification fields as necessary and create new accounts. Customer Relations Specialist

United Health Group - San Antonio, TX

October 2013 to August 2015

• Verified insurance benefits and eligibility with providers and current members obtain valid authorizations and referrals.

• Obtain medical information from physicians and hospitals when required to validate correct coding.

• Handle an array of medical claims received via HCFA, UB92, and Claim Forms/Receipts.

• Process complex claims in situations such as analyzing and resolving problems from customers and providers by explaining the best solution for the problem at hand. Client Service Representative

VMC(AppleCare) - San Antonio, TX

October 2012 to October 2013

• Demonstrating top quality customer service to Apple customers while providing resolutions to various concerns and requests.

• Providing customers with detailed recommendations outlining the benefits of various products and services provided by AppleCare.

• Demonstrate proficiency in multitasking with multiple online applications, while interacting with customers.

• Utilizing skills as an agent to protect the assets of customers while increasing customer retention and satisfaction.

Customer Service Advocate

RX-Solutions - Converse, TX

July 2011 to October 2012

• Provide status reports to clients and keep Account Executives and Claims Managers informed.

• Advocate, consult, and provide advice to clients as appropriate regarding backorder medicines.

• Investigate, evaluate, and negotiate resolution of the most complex claims in accordance with company guidelines and best claims practices.

• Ensured the privacy and confidentiality of Personal Health Information.

• Worked with Pharmacy Technicians via pharmacy help desk regarding overrides and prescription orders.

Level 3-Security Officer

CSS Security - San Antonio, TX

March 2010 to June 2011

• Patrolled industrial and commercial premises.

• Answered alarms and investigated disturbances.

• Reported daily activity and irregularities to include theft, damage, unauthorized personnel, and unusual occurrences.

Armored Driver/Messenger

Triple D Security - San Antonio, TX

February 2008 to May 2010

• Picked up and transported currency, valuable goods, and confidential documents to secured locations

• Ensured that each transaction was completed in a secure and timely manner

• Maintained constant communication with my partner via radio. Customer Service Advocate

CVS - San Antonio, TX

December 2004 to April 2005

• Filled prescription orders and processed insurance claims.

• Maintained weekly report of sales.

• Notification of benefit eligibility.

• Trained new employees on policy and procedures, and scheduling.

• Ensured the privacy and confidentiality of Personal Health Information.

• Worked closely with Pharmacy Care Representatives. Education

Associate in Medical Billing and coding

Ashworth College - Norcross, GA, US

June 2020 to Present

Associate in Pharmacy Technician Program

Kaplan College - San Antonio, TX, US

2011

High School Diploma

Judson High School - Converse, TX, US

Skills

• Customer Service

• Call Center

• Customer Support

• CSR

• Customer Care

• Medical Terminology

• Pharmacy Technician Experience

• Anatomy Knowledge

• Physiology Knowledge Pharmacology: Drug Types Drug Actions Identification Prescription Processing: Labeling Compounding Pharmaceutical Math Interactions Contraindications Anatomy and Physiology Medical Terminology Hospital Drug Delivery Aseptic Procedures IV Admixtures Laminar Air Flow Hood Procedures Quality Control Inventory Control and Stocking Medical Law and Ethics Claims and Forms Pricing Patient Profiles Computerized Data Entry Microsoft Office Facts and Comparisons Online First Aid Healthcare CPR Externship: Pharmacy Technician April 2010 to June 2010 Audie Murphy Veterans Hospital San Antonio, Texas

• Responsible for filling medication orders for patients in the hospital

• Performed inventory control that included stocking and returns, as well as monitoring expiration dates.

• Compounding medication and prepared chemo therapy IVs to be delivered to cancer ward.

• Worked in Outpatient, separated medications by alpha and put them in correct bin for use.

• Laboratory Experience

• Help Desk

• ICD-10

• CPT Coding

• Medical Coding

• Medical Records

• Medical Billing

• Medical Office Experience

• HIPAA

• Medical Office Experience

• Medical Collection

• Phone Etiquette

• ICD Coding

• ICD-9

• Insurance Verification

• Negotiation

• Microsoft Excel

• Managed care

• Microsoft Word

• Medicare

• Office experience

• Microsoft Office

• Quality Assurance

• Analysis Skills

• Contracts

• Benefits administration

• Windows

• Communication skills

• 10 key typing

• Data entry

• Analysis skills

• Customer service

• Windows

• Negotiation

• Help desk

• Typing

• Medical coding

• ICD-10

• Medical records

• Medical terminology

Certifications and Licenses

First Aid Certification

Driver's License



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