Claim adjuster
Resume:
AR Alyssa Rios
SUMMARY
Experienced professional with background in the legal and insurance
industries. Professionally trained in customer service, negotiating skills and public interaction. Experience in both medical only and indemnity worker’s compensation claims. Eager to acquire new skills in areas of safety and risk management in order to continue to grow professionally. 619-***-****
4345 Alamo Drive
San Diego, CA 92115
***********@*****.***
SKILLS
Highly skilled in SIMS claim
software, WinVantage
billing software and MS Office
Experience with public
speaking
Strong ability to work under
pressure
Excellent written and verbal
communication skills
EDUCATION
Political Science
Bachelor of Arts
San Diego State University
Class of 2015
PROFESSIONAL EXPERIENCE
Claims Professional
Berkshire Hathaway Homestate Companies San Diego, CA August 2016 to present
Manage average caseload of 120 and conduct thorough investigation of all new claims from inception to resolution
Assess initial reserves for life of claim and evaluate adjustments as needed
Delegate tasks to assistant and facilitate assignments with outside vendors and legal counsel
Review claims for subrogation and contribution timely
Ensure claim and benefits are managed in compliance with state law
Provide compassionate care to all injured workers, employers and brokers when providing claim updates or resolving concerns and issues Billing Clerk
Siegel, Moreno & Stettler, APC San Diego, CA
March 2014 to August 2016
Process bills in compliance with client guidelines for 17 attorneys
High volume submission of invoices on various client web interfaces
Conduct monthly reviews of work in process aging reports
Maintain updated information within billing software regarding files
Open of new files/issuing of final bills
Process various costs entries related to attorney appearances
Training of new timekeepers and attorneys on client billing guidelines
Resolve various billing inquires/issues as they arise PROFESSIONAL EXPERIENCE
(CONTINUED)
Billing/Office Assistant
Siegel, Moreno & Stettler, APC San Diego, CA
September 2013 to March 2014
Reviewed A/R for collection of outstanding balances
Entered data for attorney time
Reviewed client guidelines regarding write-off and process appeals for invoice reductions
Managed copy room for firm including all copy projects, mail processing, clerical duties as assigned
File Clerk
Peterson, Burnell, Glauser, & Allred, Attorneys at Law El Cajon, CA August 2008 to September 2013
Supported office organization through filing, indexing, billing ledgers, and trial preparation
File Clerk
State Farm El Cajon, CA
August 2011 to July 2013
Aided in filing, completion of form documents, scanning and other various organizational office duties
CERFITCATION
Designation - Claim
Adjuster and Medical Only
Claims Adjuster
October 2017
Completed required 160
hours for worker’s
compensation training
pursuant to California
Insurance Code Section
11761 and California Code
of Regulations Title 10,
Sections 2592.02 and
2592.03
COMMUNITY
Lakeside Amateur Radio
Club
Founding member
Alpha Gamma Delta
Alumna
REFERNCES
Brenda Winter
Financial Manager of Siegel,
Moreno & Stettler, APC
Pat Chambers
Vice Chair of Lakeside Amateur
Radio Club
*****@***.***
Deandre Moore
SCAD Graduate Student
***************@*****.***
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