Customer Service Representative
Resume:
Kimberly Naquin
Fort Worth, TX 76137
Telephone: 817-***-****
Email: ********.******@*****.***
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Objective: I am a quality and customer focused administrative professional
seeking a responsible position where my acquired knowledge, experience and
computer skills may be used to assure continued personal and company growth
opportunities.
Experience:
2-16-10/8-13-10 Healthmarkets, North Richland Hills, TX
Claims Examiner I
Reprocess Remediation Health/Dental claims
according to State Mandates
11-12-07/2-15-10 Healthmarkets, North Richland Hills, TX
Claims Customer Service Representative III
Provided Customer Service to Representatives in my
department in order for them to assist
insureds and providers regarding coverage and or
claims issues.
Took Escalated calls from insureds and provider to
assist them with benefit/claim issues
Forwarded claims for processing or reprocessing
Logged complaints
Provided assistance to the supervisor as a Lead
Representative
5-3-04/11-12-07 Healthmarkets, North Richland Hills, TX
Claims Customer Service Representative I
Provided Customer Service to insureds and providers
Handled insureds/providers inquiries on eligibility,
claim status, and benefits.
Forwarded claims fro processing/reprocessing
Worked dedicated line for the Texas Senate Bill 418
6-10-02/4-30-04 CBCA, Fort Worth, TX
Claims Customer Service Representative I
Provided Customer Service to insureds and providers
Forwarded claims fro processing/reprocessing
Handled insureds/providers inquiries on eligibility,
claim status, and benefits
2-4-02/6-7-02 Aegon, Hurst, TX
Administration Service Professional
Provided Customer Service to insureds and agents
Handled insured/provider inquires on eligibility, and
benefits
Handled insureds inquires for policy changes and
premium question.
3-4-96/2-1-02 Ageon, Hurst, TX
Underwriter
Reviewed application and medical records of potential
insureds for both small group and individual
medical/dental coverage
Underwrote and Approved/Denied coverage
Checked enrollment levels
Education:
6-85 GED, Fort Worth, TX
8-86 Fort Worth Adult Education Center, Fort Worth, TX
240 hours Aircraft Fabrication
Skills:
Microsoft Office
Windows Vista, 95, 97, 98, ME, NT
Rumba 95 NT
10 Key
Medical Terminology
CPT Codes
HCPCS Codes
ICD9 Codes
Contact this candidate