Customer Service Sales

RYAN L. SAVILLE

**** * ***** **. • Omaha, NE ****1 • 402-***-****• abjqp6@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

• Qualified years of experience processing and adjusting medical insurance claims

• Knowledge of NE, AR, CA, and MO state insurance comp policy laws and benefits

• Ability to analyze, interpret, and prioritize multiple procedures and compliance practices in fast

pace environment

Demonstrated ability to interpret medical records, toxicology/autopsy reports, accident reports, and

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policies.

Maintain turnaround time standards on all claims and follow ups

•

• Strong knowledge of IBM software programs including, but not limited to: Word, Excel, and

Outlook

WORK EXPERIENCE

Sieanna Francis Omaha, NE 10/2009 07/2010

Contractor

Collect Data for the Health Management Information System

•

Process daily work within established time lines and quality standards

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Responsible to review all orders before they are delivered to the designated pick up area for completeness

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and accuracy

Operate material handling equipment to complete all job duties

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Aerotek/First Data Omaha, NE 4/2009 10/2009

Fraud Recovery Specialist

Investigate and process credit card chargeback from Issuing Financial Institutions

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Working knowledge of Visa/MasterCard/Amex rules and regulations

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Exercise independent judgment to make administrative decisions and resolution.

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Omaha Steaks Omaha, NE 1/2009 4/2009

Outbound Sales

• Sales products over the phone and promote customer exemplary customer service

• Enter order directly into computer while maintaining the accuracy of the database

• Continuing to improve knowledge of products and marketing skills through training and quality control

meeting

Advance Services Contractor/Union Pacific Railroad Omaha, NE 1/2004 12/2008

Contract Worker Labor Relation Claims Union Pacific

• Perform duties as a Contractor for the Real Estate and Labor Relation Department for the railroad industry

providing administrative and clerical support.

• Utilize various electronic systems to input and/or access information needed in connection with the duties

of this position. Accurately prepared and processed labor relation claims, thoroughly edited inventory

assets reports, and efficiently managed clerical support duties assigned

• Receives, opens, reviews and date stamps all incoming correspondence; analyzes claim and determines if

disposition of claim and control action has been appropriately identified; develops straightforward evidence

in conjunction with claims; facilitates the workflow between the teams; and is responsible for the care and

maintenance of the claims folders.

• Generate various types of correspondence; prepares a report of contact on all telephone calls or inquiries;

Assists with completion of applications and forms; checks all forms for completeness and accuracy; and

provides general information relating to Labor Union and other agencies.

• Process all incoming requests; inputs requests for examinations; process admission notice requests from the

Real Estate Dept; processes formal Union claims; and independently develops and determines appropriate

action for contracts and claims.

First Comp Omaha, NE 6/2007 5/2008

Claims Adjuster Arkansas Missouri

• Receives claim assignment, confirms policy coverage and directs acknowledgement of claims.

• Interprets and makes decisions using independent judgment on moderate to difficult claims and policy

coverage and determines if coverage applies to claims submitted.

• Investigates claims to determine validity and verify extent of damage by telephone contact with clients,

claimants, witnesses or other parties as required. Analyzes claims activity and prepares reports for

clients/carriers and management.

• Establish reserves, using independent judgment and expertise and authorizes payments within scope of

authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.

• Settles claims promptly and equitably and issues company drafts in payments for claims within authority

limits.

Develops subrogation and third party recovery potential and follows reclaim procedures.

Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in

claim reviews

UNMC Epidemiology Omaha, NE 5/2005 10/2005

Summer Internship

• Assist with researchers and practitioners conducting multidisciplinary research to assess distribution and

determinants of disease and implement preventive measures.

• Perform complex bibliographic and library record searches including print and electronic resources.

• Participate in Public Health collaborative meetings, workshops and other training as required.

• Conducted independent investigations and research work on community services for grant proposal

• Assistance with other projects and office clerical duties as assigned

Advance Services Inc Omaha, NE 1/2004 – 2007

.

Temporary Worker

• Performs administrative, sales and warehouse duties for service contracts providing miscellaneous clerical

retail and warehouse support.

• Office administrative, laboratory, labor construction, warehouse and manufacturing duties

• Utilized office, construction, warehouse, and manufacturing equipment pertaining to complete the job

function

• Perform office duties such as producing letters and memos, arranging tabulated data, editing functions to

incorporate substantive changes made by originators, storing and retrieving electronic documents or files.

• Responsible for transporting pallets of materials and products to and from warehouse storage to meet

production and inbound/outbound shipment schedules as a material handler in the dry stock warehouse and

the refrigerated product distribution center.

Eastern Nebraska Office on Aging – Omaha, NE 2/2002 – 12/2003

Resource Developer

• Processes information to initiate services, payments, or authorizations to report preparation concerning

service status, eligibility information, funding sources, service fees, goals, time frames, and related

customer information, and to initiate referrals for services.

• Developed and maintained information on community resources and Health and Human Services

• Assessed and monitor provider contracts, client’s services, and licensing audits

• Consult and coordinate with staff, community leaders, and team members to apply agencies guidelines

covering a variety of programs

• Maintained accurate records of meetings and correspondence with clients

EDUCATION

Bellevue University, Health Care Management Bellevue, NE

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