Customer Service Medical
Resume:
Krystal Leann Gipson
-*
Montgomery, AL 36117
abjzei@r.postjobfree.com
PROFILE
I am a very outgoing, dedicated, and hardworking individual who has the mindset to
exceed in any situation. Although most of my work experience is in Customer Service
area, I am always up for a challenge, especially when it involves career advancement,
which can entail learning a new industry. I work very well with others, but also have
the self-motivation to work efficiently on my own. I am seeking a position where I can
showcase my skills along with growing with the company.
EXPERIENCE
February 2008- present
Worker’s Compensation Claims Adjuster for ACA (Montgomery, AL)
As a claims adjuster, I handle claims for both Georgia and Mississippi. This involves
being up to date on all the laws and restrictions of each state, as each state has different
rules and regulations. I manage my cases and make sure that the injured worker seeks
approved medical treatment for a compensable claim. If something is not approved or not
work related, I will also handle the denial of that billing or medical care. I stay up to date
on the injured worker’s medical treatment and review their medical records so that I can
handle the approval of any suggested surgeries, physical therapy, or any additional
medical needs. If a injured worker has been out of work, I review and enter payments for
them to be compensated for their time lost from work. I monitor for their medical billing
and notes and then review to make sure it coordinates with their reported injury. If
approved, I will then send that billing for payment. I also handle claims in litigation that
require attorney involvement. I also delegate tasks to my assistant to make sure all my
claims stay up to date such as completing and filing of necessary state board forms. I am
a certified CWCP in both Alabama and Georgia.
August 2007 - February 2008
Concierge for Wynlakes Golf & Country Club ( Montgomery, AL )
As a Concierge, I operate the main switchboard, greet members as they come in the front
entrance, take reservations for special events, and provide directions to
different events or areas at the club. I also answer general questions about the
different events in the upcoming month or current newsletter.
February 2006 - May 2007
Sales Associate for Bellsouth ( Pensacola, FL )
As a sales associate, I answered customer's billing questions, gave occasional bill
adjustments, redirected any misdirected calls, explained our current promotions, and
checked available services. I developed excellent computer skills being able to maneuver
through several computer programs at once customizing the perfect Answers Bundle
including our local services, long distance, internet, Directv, and even Cingular services
for each customer. Paying close attention to the customer and their needs
allowed me to ensure I provided them with excellent customer service and helped to
maintain their longevity with Bellsouth.
January 2005 - December 2005
Server for Texas Steakhouse & Saloon ( Morehead City, NC )
As a server, I helped to make the customer's dining experience a pleasant one. First, I
would greet them, take their food and drink order, and then read it back to make sure I
had it correct. I always ensured food was prepared to the customer's expectations and
brought for them to enjoy in a timely manner. Being a server involved cash handling, data
entry into a computer, and maintaining side work to ensure each shift ran smoothly.
May 2002 - December 2005
Shift-Leader for Pizza Pro ( Brewton, AL )
As a shift-leader, I was very well rounded. I opened the store for business, input food
orders into the computer, prepared food, washed dishes, delivered pizzas,
and watched over other employees to ensure a shift ran smoothly. Each shift I made sure
all food preparations were stocked such as making dough, cutting vegetables, and
thawing meat. I often trained new employees, making sure they knew how to make each
menu item and how to perform other tasks they maybe required to do.
EDUCATION
1999 - 2004
High School Diploma
TR Miller High School, Brewton, AL
I was a member of the National Honor Society, a part of the Yearbook Staff, tutored
Elementary children through a program called, "Tiger Buddies", received an Academic
scholarship upon graduation to Jefferson Davis Community College and maintained a 3.5
GPA.
SKILL
I am very knowledgeable about computers being able to
operate several programs such as, Microsoft Word,
Powerpoint, Excel, and Outlook. I can use common office
equipment like a fax machine, copier, or even a multi-lined
telephone system. An ever-changing workplace
does not scare me, I like the fast pace and constant learning.
REFERENCE
References Available on Request
Contact this candidate