Edgar J. Garcia

*** *. ***** ***. *** N*

Azusa, CA 91702

626-***-****

acdl25@r.postjobfree.com

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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