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Customer Service Manager, claims examiner II

Location:
San Antonio, TX
Salary:
35000
Posted:
June 16, 2017

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Resume:

Phillip W. Linton

E-Mail: ac0vnb@r.postjobfree.com

Phone: 210-***-****

Summary Statement

An experienced supervisor and trainer who is able to explain information clearly with a decisive, efficient team approach and outstanding communication skills. Possess exemplary problem-solving skills with the ability to identify problems and implement corrective actions.

Skills & Qualifications

Profound knowledge of Texas and US Labor laws

Highly skilled in Unemployment Benefits Claims

Advanced computer skills, servers, data entry, reporting and presentation software, hardware, internet explorer

Proven ability to consistently meet daily, weekly and monthly deadlines

Strong analytical and problem solving skills

Effective research and analytical abilities

Excellent written and verbal communication skills

Detailed and accuracy oriented with the ability to navigate comprehensive reporting systems

Maintain strict confidentiality and adherence to state and federal regulations, policy and laws

Typing speed 50 wpm

Work History

Claims Examiner II, Texas Workforce Commission 01/12/2009-07/15/2016

Promoted into role from Customer Service Representative (CSR) II.

Performed complex unemployment insurance (UI) claims work in the special programs unit of the UI Support Services department.

Used initiative and independent judgement while performing research, investigations, monitoring and implementing procedures, programs and services.

Reviewed all claims and determinations for proper payment and conformance to state and federal regulations.

Processed special program assignments in chargeback, mass claims, UCX benefits software, and other programs.

Responded to telephone inquiries by accurately handling internal and external calls from claimants, employers, and agency personnel.

Resolved inquiries while adhering to guidelines, policy and procedures.

Conducted unemployment hearings and start of appeals process.

Utilized benefits software systems to determine proper payment of claims.

Reviewed and investigated responses to chargeback notices, wage discrepancies, employment status, and no records to issue appropriate charge back determinations.

Reviewed wage and chargeback error reports to issue appropriate charge liability or correct monetary entitlements.

Worked effectively with employers and authorized third party representatives to complete elections of designated mailing address for claims and chargeback notices.

Ensured high quality and timely processing of claims, determinations and related correspondence.

Assistant Manager, North Arlington Pawn 07/05/2003-10/15/2004

Supervised employees in the sales and inventory of store.

Performed audits and maintained inventory control.

Provided customer service, operated registers, provided information on products and executed sales.

P. Linton resume, page 2

Manager-In-Training, First Cash Pawn 09/01/2002-12/31/2002

Provided customer service to potential buyers and advised customers on products.

Performed jewelry and gun inventories and closing/monthly audits.

Maintained inventory.

Service Manager, Internet Comm. Inc. 07/01/1997-02/28/1999

Supervised up to 4 employees managing the daily operations.

Made work schedules and appointments to install internet on homes computers for employees.

Provided technical support over the phone for customers.

Performed troubleshooting, installed software and hardware for personal computers.

Submitted monthly budget and expenses for Service department.

Advised owner on day-to-day operations.

Assistant Chief Recruiter, United States Navy 05/21/1975-04/30/1996

Oversaw production of a 7 state area for enlistment into the Naval Reserves and compliance of Federal Enlistment laws, policy and procedures.

Submitted budgets, supply request and personnel.

Conducted annual performance evaluations for staff of 15-20 personnel.

Traveled to work sites to perform audits and corporate training.

Education & Training

Tarrant Community College, Arlington, TX

Credit hours completed towards Network Administrator degree, 3.76 GPA

Local Network System Administrator (LAN) Certification

Texas Workforce Commission, various employer sponsored trainings

Software, Benefits, US Labor Laws, State and Federal Regulations, Unemployment Benefits/Insurance

Phillip W. Linton E-Mail: ac0vnb@r.postjobfree.com Phone: 210-***-****



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