Office Administrative Assistant
Resume:
Edgar J. Garcia
Azusa, CA 91702
**************@*****.***
OBJECTIVE To establish a career that will utilize my skills and training
in customer service, claims and billing. Offering excellent skills
in customer relations, bilingual fluent Spanish, type 40 wpm, hard
worker, quick learner, able to work under pressure and unsupervised,
able to make important decisions independently, flexible-willing to
take on variety of tasks, reliable and prompt.
SKILLS AND Answer high volume calls, alpha/numeric filing, clerical, data
entry, computation, navigate
ABILITIES the internet, word processing, excel, spreadsheet, 10 key by
touch, review dental x-rays, dental ADA codes, communication skills,
maintain a good attitude at all times, work well with others,
organized, self-motivated, ambitious, punctual, multi-task.
WORK HISTORY Zenith American Solutions, Covina, CA
Nov. 2012-Jun. 2013 Customer Service Representative: Providing
members/providers with eligibility, breakdown of benefits PPO/NPPO
for Dental, Medical, Prescriptions, Vision, Cobra/Retiree premiums
and claim status. E-mailing claim information to adjusters; claims
in processing, pending claims, check tracers, faxing and receiving
information requested from members/providers and logging in-coming
calls on Citrix.
Southwest Administrators, Inc. Alhambra, CA
Oct. 2004-Nov. 2012 Dental Claims Adjuster: Processed claims for the
various Trust Funds as listed:
Western Teamsters Welfare Trust Fund
Joint Council of Teamsters No. 42 Welfare Trust Fund
Teamsters and Food Employers Security Trust Fund
Soft Drink Security Trust Fund
Processed claims under two dental systems Mainframe and V3. Check
eligibility, history, review x-rays, process dental claims and
dental pre-authorizations as allowed by dental frequencies and
limitations, maintain daily quota.
Assist with counter and dental calls providing dental eligibility,
breakdown of benefits, history and requesting check tracers.
Interact with dental consultants as necessary; send letters to
Providers requesting over payments or requesting additional
information to process pending claims.
Mar. 2003-Oct. 2004 Pension Audit Clerk: Make copies of contracts and
other pertinent data for audits, type
(Promotion) and send Initial/Confirmation letters for Auditors, request
audit data via ACS (Audit Computer System), download audit data to
individual auditors lap top computers, send billing/no exception
letters to employers and file completed audits.
Jun. 2002-Mar. 2003 TBC/PDF Clerk: Correct account clerks key punch
errors when adding new
(Promotion) participant's information, key punch errors when adding money
or hours in the employers accounts.
May 2001-Jun. 2002 File Clerk: Organizing files of employers, making
necessary copies of transmittals, log in employers checks and enter
data information.
EDUCATION Rio Hondo College-General Education
South El Monte High School-High School Diploma
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