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Customer Service Medical

Location:
Nottingham, MD
Posted:
January 25, 2019

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Resume:

BARBARA G. RANCE

**** **** ****** ****** ********, MD 21237 410-***-**** *********@***.***

Key Strengths

Exceptional Customer Service

Team Player

Strong Attendance Record

Elizabeth Cooney Care Network

Scheduler Towson, MD January 2018 – Present

Schedule new and existing clients for caregivers to include: CNA’s, Escorts, LPN and RN. Obtain credit card and insurance information. Scheduling can be a one-time, short-term and long-term. Make outbound calls to staff. Responsible for Respite Care inquires.

Banker’s Life Joppa, MD April 2017 – July 2017

Call Center Representative, Contract Position

Made between 70 – 90 outbound calls daily to individuals to schedule an information session for potential sales agent positions.

Diversified Insurance Industries, Inc., Baltimore, MD August 2015 – July 2016

Claims Representative, Contract Position

Input first reports for all personal and commercial lines into computer system.

Fax or email reports to insurance carrier.

Keep current with follow-up on claims submitted.

Keep Account Executive apprised of claims status.

Acts as a liaison between clients and third party companies, to resolve claim issues.

Gallagher Bassett Services, Columbia, MD March 2014 – February 2015

Medical Only Adjuster, Contract Position

Authorize various medical treatments, and medical bills for payments.

Review medical reports, utilize medical vendors.

Issue misc. reimbursements for out-of-pocket expenses.

Handled 15 dedicated accounts.

Zurich Insurance Group, Owings Mills, MD October 2012 – February 2014

Worker’s Compensation Adjustor

Low exposure lost time claims. Authorize various medical treatments,

Review medical reports and medical bills. Utilize various vendors.

Issue lost wages. Participate in claim reviews.

Handled MD, DC, VA. Responsible for a dozen dedicated accounts.

Corman Construction Inc., Annapolis Junction, MD February 2011 – February 2012

Claims Administrator, Temporary Position

Reported worker’s compensation, auto and general liability and property losses to insurance carrier.

Reviewed medical reports and submitted bills to vendor.

Prepared check requests for misc. payments. Maintained monthly claim logs, including OSHA log.

Cambridge Solutions, Baltimore MD January 2009 – July 2010

Worker’s Compensation Adjuster, Medical Only

Handled MD, VA and DC claims for Washington Metropolitan Area Transit Authority.

Authorized various medical treatments, reviewed medical reports.

Obtained recorded statements.

Zurich Insurance Group, Baltimore MD July 2004 – December 2008

Commercial Lines Adjuster

Verifying coverage, reviewing estimates, obtaining recorded statements,

Utilized various vendors, issued claim and vendor payments, customer service and various training programs with continuing education.

Zurich Insurance Group, Baltimore MD October 1999 – July 2004

Worker’s Compensation Adjustor

Medical only claims, authorized various medical treatments and reviewed medical reports.

Daily contact with policy holders, medical provider and vendors. Accessed Claims Work Station and Special Handling database.

Paperless work environment. Responsible for over 40 dedicated accounts.

Zurich Insurance Group, Baltimore MD January 1999 – October 1999

Loss Reporting Specialist, Loss Reporting Unit

High-volume call center, obtained first reports of personal auto and property claims, assisted customer with roadside service (towing and glass).

Verified policy coverage for all policy holders and vendors. Issued drafts for all towing and glass claims. Directed the callers to the appropriate department or claim office.

Zurich Insurance Group, Baltimore MD January 1996 – December 1998

Claims Processor, Processor Unit

Assigned new losses, set up claims in the company computer system,

obtained adequate information through first-party insurance agents and policy holders.

Also closed out claim files, monthly Special Investigations Unit payments, updated department library files, switchboard relief and overall general clerical duties.

EDUCATION

Muskegon Community College, Muskegon MI

Associate of Applied Science Degree, upon completion of accounting courses, Secretarial Science major.

COMPUTER SKILLS

Microsoft Windows, Outlook; type 55 wpm.

References furnished upon request.



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