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Customer Service Insurance

Location:
Hampton, VA, 23663
Posted:
September 29, 2010

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Resume:

FLOYD W. SHOWALTER, JR.

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

Hampton, VA 23663

757-***-****, Home

757-***-****, Cell

abkljc@r.postjobfree.com

Career Objective:

An employment opportunity with a progressive healthcare organization which

consistently develops its resources while meeting the goals of the company

and providing professional staff development and advancement opportunities.

Employment History:

Riverside Regional Medical Center, Cytology/Histology Prep Tech (12/08 to

08/10)

Duties: Under the direction of the Anatomic Pathology Department Executive

Secretary and Pathologist Assistant, receive, register and accession

surgical specimens. Prepare specimens for gross examination by Pathologist

and Pathologist Assistant and assists them with grossing procedures as

needed. Provide clerical support to Pathologist Assistant, assist with

specimen pick-up from operating room, ordering supplies and maintenance of

inventory. File pathology requisitions, cell blocks and slides. Also,

responsible for keeping grossing room clean and arranging disposal of

grossed specimens. Serves as a backup for transcription and typing of

anatomic pathology reports and submission of those reports. Also, assist

in resolving insurance billing issues.

Sentara Leigh Hospital, Flex Administrative Associate - Ortho/Neuro

Surgical Unit (10/09 to 09/10) Duties: Triage patient, internal and

external calls. Order supplies. Initiate maintenance requests. Organize

nurses stations to include stocking copiers, refrigerators and recording

temperatures. Also, organize Dictation Room and maintain patient files.

Assist Charge Nurse with staff assignments, patient admissions and

discharges as well as provide clerical support to staff as necessary.

Bon Secours-Hampton Roads, DePaul Medical Center, Lab Services Registrar

(3/08 to 3/09)

Duties: Performed data entry and clerical duties which include test

requesting, patient registration and verifying alpha and numeric data using

the HIS and LIS computer systems, diagnosis coding, insurance billing,

sorting and processing mail and faxes. Responsible for logging, filing and

sorting information pertinent to the registration and test requesting

process. Also, responsible for obtaining accurate and up-to-date

demographic information and verifying insurance criteria. Sorted,

processed, labeled and distributed specimens to various lab departments for

testing. Contacted physician offices for orders and test results. Provided

patient and other client inquiries face-to-face and by telephone. Served

as a backup for dispatching/scheduling courier pick-ups.

Addison York Insurance Brokers, Ltd., Part-time Agent (4/06 to 8/09)

Duties: Sold, solicited, negotiated and adjusted personal and some

commercial auto, renters and homeowners insurance policies. Acted as

Office Manager on Saturday shift and lead a team of Customer Service

Specialists, prepared daily deposits and end-of day paperwork. Also,

served as timekeeper. Assist clients with billing, claims and underwriting

inquiries. Perform general office duties and procedures as necessary.

USAA Insurance Company, Underwriter (01/1997 to 10/2005)

Duties: Made underwriting decisions on individual referrals based upon an

analysis of a variety of factors and information, within established

guidelines and authority limits. Used underwriting knowledge to determine

proper procedural action. Achieved prescribed levels of proficiency in

underwriting and contract knowledge and regulatory requirements. Responded

to P&C Sales, Service, Claims personnel and member inquiries/complaints

regarding underwriting decisions. Trained, coached and monitored employee

performance for assigned Service and Claims teams consisting of 12-15

associates each. Facilitated new underwriting initiatives to Service and

Claims management. Completed quarterly financial analysis of assigned book

of business and provided appropriate action plans and recommendations for

process improvements. Underwriting representative on the Claims Coverage

and Large Loss Committees. Prior to Underwriting, I investigated,

evaluated, negotiated and settled complex property claims. Provided

training, file handling guidance and mentoring to 12-15 new claims

representatives as a Transition Coach. Served on the Catastrophe Team for

Hurricanes Bonnie and Floyd. Prior to Property Claims, I serviced the

insurance needs of members for all P&C personal lines. Assisted Auto

Claims in taking initial loss reports and scheduling appraisals. Provided

guidance, coaching and mentoring to 15-20 new Policy Service Associates as

a Transition Coach. Provided first level escalation support.

Education, Professional Licenses and Certifications:

Virginia Commonwealth University - Richmond, Virginia 1989

B.S., Business Administration and Management.

American Heart Association Healthcare Provider CPR AED Certification, 5/09

Virginia Property and Casualty Agents License, 3/06

Insurance Institute of America

Associate in Insurance Services, Associate in Professional Insurance,

Associate

in Claims.

American Educational Institute, Inc.

Legal Principles Claims Specialist, Casualty Claims Law Associate.

Proficient in MS Windows, Excel, PowerPoint and Outlook. Strong analytical

and

leadership skills. A Multi-tasker and quick-study with an excellent work

ethic.

References Available Upon

Request



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