Customer Service Medical

Confidential User

Email: **********@********.***

Address: Address Withheld

City: Lenexa

State: KS

Zip: 66215

Country: USA

Phone: 913-***-****

Skill Level: Entry

Salary Range: $30,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Janice Timberlake

12442 W 97th Terrace

Apt #300

Lenexa, Ks 66215

Email: **********@********.***

SUMMARY

Many years of experience in commercial insurance, worker`s compensation insurance and premium finance. Accelerated knowledge of data entry, bookkeeping, and training. Consistently exceed expectations in all projects given.

PROFESSIONAL EXPERIENCE

Travelers Insurance Company, Overland Park, Ks 4-1998 - 6-2012

Claim Specialist (1998-2010)

Responsibilities: claim specialist as a Medical team Assistant (MTA) and then an Operation Specialist in all line of insurance (work comp, property, general liability and auto).

Medical Team Assistant:

- Scanned all medical records into the file cabinet.

- Called doctors, hospitals, physical therapy offices and requested records be sent by fax or mail.

- Worked with seven medical case managers (nurses) and all claim adjusters.

- Paid medical bills that came to the claim adjusters.

- Setup doctor appointments and treatment plans for the nurses.

- Sent first contact letters to the doctors, hospitals, and physical therapy offices for appointments for nurses and claim adjusters.

Operations Specialist (2010 0 2012)

- Scanned all mail to each claim file and made sure adjuster initials and claim number were on all correspondence mail.

- Answered phone from the switchboard that came into the 800 number and help claimant as much as possible before transferring call to nurses and/or adjuster. Also help on switchboard when the receptionist was not available.

- On claims-Called claimant on CAT claims for property, general liability and auto claims.

- Set up litigation file for the attorneys.

- Assigned claim files to claim adjusters.

- Set out an SIU reports (claims not yet assigned) to the work comp director, unit managers and claim adjusters for our region and setup report every day on Excel spreadsheet.

Accomplishments:

Trained new support staff

Work in a team environment and was the back up for any MTA pr Operations Specialist when absent.

Member in the employee club for several years.

Floor representative for the Travelers Women`s Club for three years until it became the Employee`s Club.

Received several certificates in customer service awards.

Janice Timberlake 2

UPAC- Universal Premium Acceptance Corporation, Overland Park, Ks 1996 - 1998

Discrepancy/Risk Management Analyst

-Received and separated all daily office mail.

- managed the follow up on all $10,000 and over premiums, or discrepancies sent to insured: confirmed receipt applications (from agents).

- Confirmed policy numbers on contracts: ensured accuracy.

- Assisted with contract problems that arose from errors on premium finace application (from agents).

Responsibilities:

Worked with insurance companies and general agents to gather correct addresses; sent confirmation letters to ensure the contracts were correct.

The Travelers Insurance Company, Overland Park, KS 1974 - 1995

Senior policy Processor - Commercial Lines Department (1977 - 1995)

- Entered coverage and premiums on database on an average of 200-300 pages daily.

- Proofread, processed and distributed accurately 20-25 commercial lines policies and endorsements on a daily basis.

- Verified and established coverage for claim requests up to 20 per day to prevent unauthorized payments of claims.

- Set up claims daily.

- Performed quality control functions by proofreading accurately 20 policies and/or endorsements weekly.

- Worked in a team environment for several years.

Clerical - Surety Department (1974 - 1977)

- Typed, notarized and delivered 200-250 liquor bonds for one big account in a two week time frame.

- Typed, assembled and maintained bonds for many years.

Accomplishments:

Notary Republic for several years.

Trained support staff on data system for claims and data.

Stivers Personnel (Staffing Service), Shawnee Mission, KS 1995 - 1996

Responsibilities: Customer Service and Administractive Assistant - Trans Union

EDUCATION

Associate Degree, 5-17-1974 Business, Johnson County Community College, Overland Park, Ks

Emporia State University - Business, 1 years, Emporia, Ks

Shawnee Mission South High School - 1970 Graduate, Overland Park, Ks

COMPUTER SKILLS - PROFESSIONAL DEVELOPMENT AND TRAINING:

Lotus 1-2-3, MS DOS, MS Word, Windows, Personal Computer, Word Perfect, MS Excel and

Power Point

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