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Medical Claims Adjuster

Location:
Farmington, MN, 55024
Salary:
50,000
Posted:
May 03, 2019

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Resume:

AMANDA STANKOSKI

***** ********* ***, **********, ** 55024 651-***-**** ***********@*****.***

EXPERIENCED CUSTOMER SERVICE PROFESSIONAL

• Thirteen years customer service and inside sales experience.

• Successfully handled 80-120 customers per day in a busy call center environment.

• Consistently built rapport with callers to ensure customer satisfaction and repeat sales.

• Demonstrated ability to sell additional products and services to customers.

• Able to multi-task and work in fast pace environment with little to no supervision. PROFESSIONAL EXPERIENCE

PROPERTY DAMAGE ADJUSTER- PROMOTED TO MEDICAL CLAIMS ADJUSTER Progressive Insurance, New Brighton MN 2016-Present

• Initiate contact with insured; empathize with insureds and set expectations for future communication.

• Verify coverage and benefits.

• Read appropriate state scripts and direct to body shop of choice; investigate and analyze estimate from body shop for repair.

• Determine liability based on recorded statement, police reports, and scene investigations.

• Manage claim and diaries, prioritize work. Understand appropriate reserves, review medical records and bills for payment or denial. Work with attorneys and settle claims appropriately

• Handle total loss claims; help prevent fraud by asking appropriate questions; document all actions. CUSTOMER SERVICE SALES LEAD 2014-2016

ProSign Branding Solutions, Eagan MN

• Handled inbound customer requests for price estimates and production details.

• Led cost estimating process with vendors and subcontractors.

• Managed complex customer projects from design consultation thorough final invoice and payment.

• Achieved 10% close rate on targeted outbound sales calls to prospective customers. CUSTOMER ACCOUNT MANAGER

Cerasis, Inc., Eagan, MN 2012 – 2014

• Tracked expedited shipments to ensure on time delivery for customers.

• Accurately entered delivery details into customer database.

• Maintained continual communication with contractors to encourage high performance.

• Managed customer invoicing process.

WEIGHT LOSS COUNSELOR / PRODUCT SALES

SlimGenics, Lakeville, MN 2012

• Proactively counseled clients; identified and promoted products to help them succeed.

• Managed product sales and payments; built rapport and maintained professional client relationships. AMANDA STANKOSKI Page 2

CUSTOMER SERVICE TECHNICIAN 2011-2012

Verizon Wireless, Burnsville, MN

• Assisted customers in choosing devices and service plans to best meet their unique needs.

• Identified opportunities to sell additional products and services.

• Consistently met and exceeded sales quotas.

• Proactively studied rapidly evolving product and service details to best serve customers. SERVER

Cracker Barrel Restaurant, Lakeville, MN 2010 - 2011

• Greeted and served customers in a fast paced, time sensitive environment.

• Proactively maintained knowledge of evolving menu to increase sales.

• Accurately entered orders into point of sale system.

• Engaged customers in conversation to provide an exceptional experience. CUSTOMER SERVICE REPRESENTATIVE - PROMOTED TO PRODUCT QUESTION SPECIALIST 2007 - 2010 Uline Shipping Supplies, Eagan, MN

• Handled 80-120 incoming calls per day in a high-volume retail sales call center.

• Accurately entered and verified order details for callers and visitors.

• Coordinated sales and distribution process with custom, credit, quotes and sales departments.

• Contacted manufacturers to research customers’ product questions. TENANT SERVICES ASSOCIATE 2005-2007

Minnesota Technology Center, Minneapolis, MN

• Maintained positive relationships with tenants to provide exceptional customer service.

• Handled incoming calls on a multi-line phone system.

• Greeted and directed visitors; maintained visitor log.

• Collected and accounted for parking fees.

EDUCATION

Bachelor of Arts, Communications and Marketing

University of Minnesota, Minneapolis, MN

Property and Casualty License

Kaplan University, Bloomington, MN

COMPUTER SKILLS

Proficient in Microsoft Word, Outlook and claims and payment management systems in Windows PC and Mac operating systems. Ability to print, fax, scan, and copy.



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