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Customer Service Quality Assurance

Location:
Fort Lauderdale, FL
Salary:
28000
Posted:
September 28, 2013

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Resume:

Jessica A. Warfield

***** ** *** *****

Plantation, FL 33324

954-***-****

************@*****.***

OBJECTIVE

To obtain a position that will enable me to use my strong organizational skills, educational background,

and ability to work well with people.

EMPLOYMENT

New York Insurance Compensation Rating Board, Ownership Analyst, New York, NY, 2009- 2013

- Responded to emails, faxes, and phone calls received by carriers, brokers, agents and employers in a professional

manner.

- Assisted the Senior Ownership analyst with duties pertaining to entities that violate or don’t meet proper criteria

on workman compensation policies pertaining to workman’s compensation rules and guidelines.

- Communicated with brokers and carriers on revisions made on policies.

- Contacted insurance carriers when duplicate insurance policies exist within the same employer.

- Provided support to the Policy Analyst and Ownership Analyst by performing tasks, which includes policy

preparation and some data entry functions.

- Worked with Classification Department to determine whether class codes are required on policies based on

information given by/from inspections and audits.

- Assigned new Coverage IDs to employers receiving new coverage.

- Performed data entry functions of generating new policies for employers seeing workman’s compensation

coverage and policy renewals.

Provest LLC, Quality Assurance Clerk, Fort Lauderdale, FL 2007-2008

- Verified information received from various clients is accurate and correct.

- Performed data entry functions inputting state foreclosure information into company data bases received from

various clients in a timely matter.

- Scheduled re-routes when needed to correct process servers information pertaining to foreclosures.

- Received and Scan Log sheets on a daily basis to the company corporate office.

- Followed up on files that were received with incorrect information.

- Maintained a high level of efficiency and accuracy at all times.

- Maintained a high level of customer service as well as professionalism.

- Ensured organization is maintained with daily work and management.

Sheridan Health Corp, Account Representative, Sunrise, FL, 2005-2006

- Created accounts for patients that were seen in the ER for billing and payments.

- Screened patients for various federal and state programs for medical assistance.

- Verified insurance and patient eligibility for Medicare and Medicaid using WEBMD website.

- Billed patients using ICD-9 and CPT medical coding.

- Attended monthly meetings to review status of workflow.

Broward County Public Schools, Clerk Specialist, Fort Lauderdale, FL, 2000-2005

- Generated work orders for the Transportation Department, Risk Management and Safety Department pertaining

to maintenance and safety code violations.

- Worked directly with Supervisors and Directors with preparation of upcoming projects within safety guidelines

and code enforcements of the Health Department.

- Assisted the Funding Department with the end of the school year budget.

- Coordinated special projects given by managers and directors for schools throughout the county district.

- Handled and processed incidents, accidents, and road hazard reports.

- Assisted with preparing benefits information for open enrollment for school board employees.

- Worked on accident and workman compensation claims for the transportation department and completed follow

up on all cases.

- Attended weekly meetings with Directors, Managers and Supervisors regarding renovations of schools

throughout the county and scheduling of special projects.

- Assigned work trades pertaining to renovations of schools, maintenance buildings and School Board offices.

- Assisted the Broward County Schools as part of Emergency Management Services during the 2003-2005

hurricane seasons under the direction of FEMA.

- -Calculated times, costs and overtime pertaining to the Tools for Schools Project in Broward County.

- Relocated to different areal locations throughout the Broward County School Board as needed.

Ortho Pro Associates, Front Desk Receptionist, Plantation, FL 2000-2001

-Confirmed patient appointments for orthopedic fittings.

-Verified patient insurance.

-Checked patients into office.

-Pulled patients file records for appointments scheduled.

SKILLS AND ACCOMPLISHMENTS

Experience with Oracle systems

Experience with Filemaker pro data bases

MS Word, MS Excel, MS Outlook – Intermediate

Typing skills: 50-60 wpm, 10,000 keystrokes p/min

Medical terminology

Knowledge of HIPAA guidelines

Experience with AS400 data bases

2001-2005 Recipient of Academic Award of Recognition and Achievement from the Broward County Transportation

and District Maintenance Department

Volunteered at the Children with Cancer Association in Fort Lauderdale, FL

*PROFESSIONAL REFERENCES AND LETTERS OF RECOMMENDATION AVAILABLE UPON

REQUEST



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