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Claim adjuster

Location:
San Diego, California, United States
Posted:
January 30, 2018

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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

ac39on@r.postjobfree.com

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

619-***-****

Pat Chambers

Vice Chair of Lakeside Amateur

Radio Club

ac39on@r.postjobfree.com

Deandre Moore

SCAD Graduate Student

619-***-****

ac39on@r.postjobfree.com



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