Customer Service Human Resources

Jamie Kosier

** ******* ***** *******, **** *****

*******@*******.*** 740-***-****

Seasoned, detail-oriented leader with extensive experience in the health

insurance industry, customer service, multi-line telephone operation, well-

versed in the Microsoft Office Suite, and eager to learn is seeking a

fulltime position.

Professional Experience

CREATIVE SAFETY PRODUCTS, Gahanna, Ohio March 1, 2010 - June 4, 2010

SECRETARY & ACCOUNT AUDITOR, March 1, 2010 - June 4, 2010 (part-time)

. Audited financial and department records for multiple sales

representatives.

. Reported and verified payroll information.

. Scheduled appointments and managed active office calendars.

. Invoiced vendors and updated daily accounts receivable.

. Prepared new hire paperwork and packets.

. Created and disbursed financial and department reports using Excel.

. Operated multi-line phone system.

. Assigned new department file numbers and updated existing open

department files.

. Managed office supply inventory.

. Organized and distributed mail and faxes to appropriate personnel.

. Greeted employees and visitors.

. Operated fax machine, copier, calculator, computer, printer, scanner,

and office voicemail system.

STATE FARM INSURANCE, New Albany, Ohio - 1989 to November 2009

HEALTH CLAIMS EXAMINER & TEAM LEAD, 1998 to November 18, 2009

. Managed inventory of 125+ active paper investigational claim files.

. Established medical/insurance charts for investigational review.

. Liaised with state and federal regulatory agencies and other third

party interest to ensure proper benefit disbursement.

. Provided second level of review for contested claims.

. Approved payment of claims up to $50,000.00.

. Verified other insurance coverages and authorized pre-certification on

surgical policies.

. Produced State Medicare, Medicaid, and employee contact lists using

Access.

. Identified and reported fraudulent activities to appropriate State and

Federal agencies.

. Performed extensive review of medical records, medical billing,

accident reports, and contracts to include strong understanding of

medical terminology and proper diagnosis and procedure coding.

. Conducted professional interviews with the insured, medical providers,

and agents to gather incomplete information.

. Communicated claim status to the insured in a clear, concise, timely,

and professional manner.

. Applied HIPAA Regulations to all forms of communications to ensure

confidentiality and privacy protection.

. Entered phone call and interview data into the computer.

. Maintained multiple phone line system and assisted with call center

overflow.

. Drafted internal and external correspondence utilizing MS Word and

email.

. Collected and applied overpayments to appropriate accounts.

. Created reports using Excel and Access to assist in tracking claim

progress, timely handling reports, and reports for litigation.

. Restructured procedural manuals to reflect State and Federal

legislation for 23 states.

. Developed presentation materials for training programs and staff

meetings using PowerPoint.

. Coordinated unit meetings and gap training sessions that included

virtual co-workers.

. Maintained and operated fax machine, photo copier, scanner,

calculator, computers, printers, multi-line phone system, and team

voicemail.

. Updated employee attendance using PeopleSoft.

. Coordinated vacation schedules.

. Served as backup to the executive secretary and receptionist.

HUMAN RESOURCES ASSISTANT, 1994 to 1998

. Managed calendars and travel accommodations for multiple personnel.

. Prepared internal and external correspondence.

. Scheduled employment interviews and administered appropriate pre-

employment testing.

. Ordered background investigations and medical screenings for potential

employees.

. Made job offers and established new employee shields and department

files.

. Obtained and tracked all employment related documents.

. Maintained and updated employee shields according to employment

regulations.

. Arranged for accommodations for employees protected under the American

with Disabilities Act.

. Collaborated with operational managers to plan job posting, hiring,

and on-boarding activities.

. Scheduled and organized recruitment fairs and college visits.

. Designed and facilitated new employee orientation and retirement

seminars.

. Maintained Human Resources databases, computer software systems, and

manual filing systems

. Prepared Anniversary/Retirement letters for Executive signature.

. Organized and distributed mail and faxes.

. Served as backup for the Receptionist.

. Demonstrated a high level of professionalism and confidentiality.

. Administer and explained benefits to employees.

RECORDS CLERK & TEAM LEAD, 1989 to 1994

. Managed electronic files within the Auto and Fire line of business.

. Developed and updated training materials.

. Provided training for new employees and gap training for existing

employees.

. Performed administrative duties as assigned.

. Served as backup for the switchboard operator.

. Ten key data entry and electronic filing.

Educational Background

CPR Certified: Expiration 6-5-2012

Bachelor in Business Administration, 2008

KEISER UNIVERSITY ONLINE, Fort Lauderdale, Florida

Authored thesis concerning the emerging multi-generational workforce

Professional Development: State Farm Tier 1 Leadership Program . Health

Claim Processor School . Health Claim Examiner School . Medical Terminology

. Annual HIPAA Compliance Testing

Affiliations: Toastmaster's - Presenter, Timer, Evaluator, and Grammarian

Selected Technical Proficiency: MS Office Suite (Word, Excel, PowerPoint,

Access, Outlook), PeopleSoft

State Farm Special Assignments

Active member of the Employee Appreciation Day committee, Orchestrated the

Halloween festivities and contests, Selected to represent State Farm by

conducting preliminary employment interviews of external candidates,

Volunteered to represent State Farm by promoting diversity at the Pride and

Latino Festivals, Volunteered to represent State Farm by partnering with

Stop the Suffering for a fundraiser, Chaired the Military Affinity Group in

order to support deployed soldiers, Personally developed and executed an

internal career fair as an effort to retain employees.

Contact this candidate