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Customer Service Medical

Location:
North Aurora, IL, 60542
Posted:
October 04, 2010

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Resume:

Kelly L. Archer

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

North Aurora, IL 60542

630-***-****

[pic]

*/** - */** ******** DISTRICT COUNCIL NO. 30/BENEFITS FUND

Medical Claims Examiner

Responsible for adjudicating claims, handling subrogation

cases and processing cobra.

Duties included: Answering customer service calls from

members and providers,

processing large volumes of claims on a daily basis,

preparing lien amounts to

lawyers for subrogation cases, processing cobra payments

and any correspondence.

4/93 - 7/03 HALLMARK SERVICES CORP./BLUE CROSS/BLUE SHIELD, Aurora, IL

Claims Examiner

Responsible for the input and settling of claims on a fully

automated system. Duties included: Reading medical

records, identifying and processing contestable and pre-

existing rules.

Jet Underwriter

Responsible for reviewing new business applications,

changes and reinstatements. Duties included: Obtaining

missing information to include claim prints, missing

questions, and prior declinations. Processing effective

date, plan and deductible changes. Correspondence with

agents, clients and vendors.

Underwriting Information Assistant

Responsible for obtaining and verifying information needed

by the Underwriter to complete the application processing.

Duties included: Phone interviews, requesting medical

records from providers and hospitals and providing

application status to agents and insured.

9/92 - 4/93 RE/MAX MASTERS REALTORS, Sugar Grove, IL

Secretary

Responsible for office operations. Duties included:

Greeting customers and handling telephone inquiries. Data

processing and scheduling appointments, typing and filing

office documents, faxing, and maintaining office supplies.

1/89 - 12/92 FARMERS INSURANCE GROUP, North Aurora, IL

Senior Policy Coder/Rater

Responsible for verifying and transferring data from

property/casualty Fire applications to mainframe computer.

Duties included: Responsibility for adherence to state

insurance regulations and rating policies, training new

employees, issuing typing instructions, processing new

business, reinstatements, and company requested

cancellations.

Education

West Aurora High School

References Available Upon Request



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