Insurance Customer Service
Resume:
Shari Black
*************@*****.***
Professional
Overview
Claims Assistant
with 17 years of
experience in
Professional
Liability, General
Liability, Auto,
Medical and
Workers
Compensation
Insurance. Areas
of expertise
include data
entry,
transcription,
accounts payable,
and customer
service.
Summary of
Skills
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Work Experience
Senior Claims
Coordinator
July 1993 to
January 2011
Texas Hospital
Insurance
Exchange/ Texas
Hospital
Association –
Austin, Texas
Sole
support
staff for
Vice
President
of Claims
and two
adjusters.
Assisted
in support
for two
other
adjusters.
Back up
receptioni
st.
V
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r
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s
a
n
d
i
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s
u
r
e
d
s
.
Reported new
claim/suit
information to
appropriate
agencies including
EDI, National
Practitioner's Data
Bank, State Board
of Medical
Examiners,
reinsurance
company,
Medicare/Medicai
d.
Entered all
payment
information in to
system for
payments of
settlement
checks, medical
payments and
expense
payments.
Received checks
from accounting
and attached
appropriate
documentation
and mailed.
Transcribed
recorded
claimant's
statements.
Tracked and billed
all insured
deductibles after
payments made.
C
r
e
a
t
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d
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l
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p
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y
.
Risk
Management
Assistant
May 1990 to July
1993
Texas Hospital
Insurance
Exchange/ Texas
Hospital
Association –
Austin, Texas
Supported
Director of Risk
Management and
two Risk
Management
Advisers.
Transcribed all
correspondence
and reports for
department.
Scheduled travel
for department.
Assisted in developing Risk Management Survey that was sent to all insureds prior to Advisers visits. This
was used in determining "risks" for potential claims/suits.
Assisted in organizing Risk Management Seminars for insureds where continuing education credits were
awarded. Responsible for marketing seminars and registration.
Office Administration /Receptionist
May 1984 to September 1989
William Keiley, MD – Round Rock, Texas
Responsible for scheduling patient office visits and scheduled surgeries.
Pre-certified surgery with insurance companies
Located, checked in and pulled medical records for appointments. Filed
patient test results and dictated physician reports in patient files.
Processed accounts receivable and accounts payable. Made daily deposits.
Filed insurance forms for procedures performed.
Copied physician-dictated reports and complied with patient requests for copies of patient records.
Managed incoming phone calls to office and gave information to physician and nurse.
Insurance Supervisor/ Admitting Clerk
September 1976 to May 1984
Bailey Square Surgical Center – Austin, TX
Preregistered patients over telephone and in person.
Responsible for verifying insurance and determining co-payments.
Reviewed and explained insurance plans to patients to guarantee full understanding of payment policies and
procedures.
Typed patient admitting records from preregistration information. Assembled chart and attached lab reports, x-
rays and physician instructions prior to day of surgery.
Day of surgery admitted patients.
Typing and filing of insurance forms for payment.
Trained new employees on registration, admitting and billing procedures.
Follow-up with insurance companies regarding payments and denied claims.
Education
San Antonio Commercial College 1977
San Antonio, Texas
Secretarial/ Keypunch
Harlandale High School 1967
San Antonio, Texas
Member of Drill Team
Member of Future Teachers of America
Keywords
I am looking for a position where I can use my experience in the insurance and medical field.
I have long term experience supporting the claim department using Microsoft Word for creating
correspondence and report transcription. I have used Excel in creating reports for tracking claim numbers and
other reports requested by management.
I have experience in using and help in testing and customizing two different insurance data systems for 5
different lines of insurance. Also, in testing and using two different document scanning systems.
I am very familiar with reporting information to appropriate agencies regarding insurance claims such as
Medicare, Medicaid, National Practitioners Data Bank, Texas Dept. of Insurance and State Board of
Medical Examiners.
I have a vast amount of experience in customer service with heavy contact of attorneys, claimants, insureds,
and other insurance companies. In working for a physician's office and an Ambulatory Surgical Center, I have
experience in working with patients, physicians and insurance companies.
I am familiar with insurance and medical coding due to my experience in filing claims for payment working for
the physician and surgical center and also in working with Worker's Compensation claims.
I have always been recognized for my ability to multi-task and prioritize the work load. Having worked for
multiple staff at all times and being able to always meet multiple deadlines has always been a personal goal of
mine.
Contact this candidate