Customer Service Representative

JOSIE SCARBOROUGH

**** ** ********* *** ** Crescenta, Ca 91214

Cell 818-***-**** *******@*******.***

OBJECTIVE

With fourteen years experience as a claims examiner, seeking employment within an established company to utilize my expertise and analytical skills.

SKILLS

Type 65 wpm, WordPerfect, Excel, Lotus, QuickBooks, Polaris, ICD 9, Eldorado and Walker. Fluent in Italian and French and understand Spanish

EMPLOYMENT HISTORY

Affordable Benefits Administrators Inc 2014-Present

Medical Claim Examiner

Analyzing and adjudicating medical, dental and vision claims in accordance with contract provisions and Healthcare Reform provisions.

Processing electronic and manual claims while handling a large volume of incoming calls.

Unum Glendale, CA 2000-2013

Senior Claim Analyst:

Reviewed, evaluated and processed disability insurance of the most complex claims according to procedure and practice.

Examined material to ensure insurance coverage and validity.

Daily contact with agents, claimants, medical professionals and policyholders while being a mentor to other team members.

Ensured timely referrals/notification to other areas such as Long Term department or FMLA.

Responsibility also included corresponding with policyholders, claimants, attorneys etc., both verbally and in writing.

Able to multitask and balance goals and priorities, while working in a high volume production environment.

Alitalia Airlines Los Angeles, CA 1992-1997

Telephone Sales & Group Representative

Supervised the group & cruise department.

Collaborated closely with other offices in marketing, quoting, selling booking and creating international travel itineraries.

Monitored and reviewed all reservations to insure proper booking of local production and examined inbound and outbound flight.

Acted as liaison between the department, the public sector and travel agents.nal

Security Pacific National Bank 1986-1990

Note Department Clerk/Teller/Customer Service Representative

EDUCATION BACHELOR OF ARTS, FRENCH

California State University Los Angeles, CA

CERTIFIED ACCOUNTING CLERK

Office Occupations Lab. Burbank School District

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