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Medical Insurance

Location:
Germantown, Maryland, United States
Salary:
$50,000-$65,000
Posted:
April 25, 2018

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Resume:

Iris Mendoza

***** ********** **

Germantown, MD 20874

ac48zo@r.postjobfree.com

EDUCATION

Bachelor of Science in Architecture, Concentration in Construction Management, May 2001

Catholic University of America, Washington, DC.

Associate in Applied Science in Architectural Engineering Technology, May 1999

University of The District of Columbia, Washington, DC.

EMPLOYMENT

State Farm Insurance, Bodily Injury Claims Specialist, Charlottesville, VA March 2015- 1/2018

- Negotiate and settle with attorneys on customer’s bodily injury claims

- Guide and explain the claim process to Spanish-Speaking customers daily

- Serves as a mentor to less experienced claims associates and assists with training as assigned by claim management.

- Closely monitor defense counsel’s work product, adjust reserves and manage litigation when appropriate.

- In depth knowledge of several jurisdictional policy states including California, Alaska and Arizona as pertaining to personal lines property damage and liability coverages.

- Application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.

State Farm Insurance, Medical Payment Specialist, Charlottesville, VA February 2014-March 2015

- Explain in detail policy coverages to Spanish-speaking and English- speaking policy holders

- Investigate, evaluate and determine applicable coverages on customer’s medical claims

- Issue payments to medical providers, including; Medicare, Medicaid, and private health insurances

State Farm Insurance, Bilingual Auto Claims Specialist, Charlottesville, VA February 2004- February 2014

- Work from established procedures, scripts and job aids and handle multiple computer applications while

helping customers on the phone with auto repair process

- Reach out to body shops, rental companies, investigative agencies, and other insurance companies to

evaluate the personal lines property damage portion of received claims

- Listen and communicate clearly policy coverages and make liability decisions to English-speaking and

Spanish-speaking customers

- Maintain working knowledge of: Maryland, Virginia, Delaware, North Carolina, and Washington DC areaS

policy coverages and state laws as pertaining to auto property damage

- Working in a collaborative team environment while meeting quality standards

Pediatric Associates, Receptionist/Billing Processor, Charlottesville, VA, May 2002- February 2004

- Coding, uploading, and billing office visit information to various insurance companies

- Schedule patient appointments, answer incoming calls, uphold office maintenance standards

- Greeting patients in English and Spanish, updating personal and insurance information and recent medical

profile changes

VOLUNTEER ACTIVITIES

Volunteer recruiter and manager for the Charlottesville Fire Department’s annual Posada

Charlottesville, VA, winter 2006-2016

* Recruited local students to volunteer as; translators, food servers, activities moderators,

and distributors of obtained donations to the local Latin community

* Educate Youth and Adults on fire safety and provide bilingual resources to families.

LANGUAGES

Native Spanish-speaker, fluent English



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