Customer Service Manager

Janet M. Guipre

**** ****** ***.

Marshalltown, IA 50158

Home Ph: 641-***-****

Mobile Ph: 281-***-****

Email: ********@*****.***

GOAL:

To utilize my experience and expertise in liability and injury claims.

SUMMARY OF QUALIFICATION:

I have a certificate for Medical Claims and Billing

Experience reviewing HCFA (CMS) forms CPT and ICD-9 codes, codes, utilizing MBR/UCR peer reviews and IME's.

I'm familiar with patient privacy laws.

Familiar with Medisoft

RELEVANT SKILLS AND EXPERIENCE:

Problem solving skills

Highly proficient multi-tasker

Proficient in Microsoft Word, Excel, and Power Point

Discussed injury cases with attorneys

Cash handling experience

Customer service experience

Management experience

Training experience

Call center experience

Typing skills: 40 wpm

WORK HISTORY:

Aerotech - Nutri Blend: November 2013

Administrative Assistant

Entered information in MS Excel

Filed paper work

Scanned paper work into a computer

Attached files that were scanned to a system to track inventory

Temporary position until the office work was caught up

Tower Group: 2012-2013

Billing Customer Service Representative

Answered billing questions

Transferred payments to the correct policy if applied to the wrong policy in error

Operated multiple systems at once

GEICO: 1999-2004

Customer Service Representative : April 1999 - May 2000

Had the initial contact with customers

Handled claims from start to finish that had no questions with coverage, liability, or injuries

Transferred claims to the appropriate level of claims if the claim was above my authority

I set up DI/MD/RX

Telephone Claims Representative: - May 2000 - February 2002

Preformed the job requirement of a Customer Service Representativejujuy8qui

Reviewed HCFA (CMS 1500) forms & treatment note for first party injuries

Issued payment for injuries and property damage

Followed up on treatment plans

Discussed injury cases with attorneys

Made liability decisions

Part Time Contact Team: February 2002- July 2004

Duties of Telephone Claims Representative

Marshall's: 1991-1999

Assistant Manager 1995-1999

In charge of store operations

Custer Service/Floor Coordinator 1993-1995

Made sure the merchandise was displayed and processed correctly

Handled customer concerns

Oversaw the running on the registers & customer service desk

Part time associate 1991-1992

EDUCATION:

U.S. Career Institute 2009

Certificate in Medical Claims & Billing

Plano East Senior High 1992

High School Diploma

REFERENCES:

Amy Akins 972-***-****

CU Manager at GEICO

Carey Clement 469-***-****

Litigation Manager at E-surance

Henry Cojulun 972-***-**** or 214-***-****

CU Manager at GEICO

Steve Stakowski 972-***-****

CU Manager at GEICO

Jim Guipre 716-***-****

RLA at GEICO - Spouse

Clare Dean

Neighbor 716-***-****

Chris Frey

Friend 716-***-****

Lari Farenholz

Friend 716-***-****

Pat Troeller

Friend 716-***-****

Contact this candidate