Customer Service Claims Adjuster

JESSICA LAGERSTROM

CUSTOMER SERVICE

Isle, MN ***42 1-952-***-**** ad14y5@r.postjobfree.com

Actively seeking a position where I can optimize my customer service and organizational skills to contribute to increased customer satisfaction. My strong multi-tasking skills and fast learning ability will ensure a quick contribution to your team.

Excellent Verbal and written communication

Medical terminology knowledge

Courteous telephone demeanor

Insurance and billing knowledge for 10+ years

Professional Customer Service Skills

Microsoft Outlook, Word and Excel Experience

Exceptional interpersonal communication

Excellent time management skills

Licensed Claims Adjuster

Med Pay/PIP experience

2 years of call center experience

Remote work experience

Self Starter

Works well in fast paced work environment

Claims Adjuster, 03/2022 - Current

Nationwide – Remote

Examined claims forms and other records to determine insurance coverage. Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability

Conducted comprehensive interviews of witnesses and claimants to gather facts and information. Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues

Communicated with injured claimants about injuries and treatment. Collected medical records and bills to pay under Medical Payments and Personal Injury Protection coverage.

Reviewed claims for subrogation potential.

Reviewed all information to report fraud.

PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

Researched and analyzed policy contracts to verify proper payment of claims. Negotiated with policyholders and claimants to reach mutually satisfactory resolutions. Dental Assistant, 03/2021 - 03/2022

Pine City Dental

Prepared and arranged instruments, medications and required materials for dental procedures. Explained treatment procedures and instructed patients on home care guidelines. Used Dentrix to document and maintain patient information and health background. Recorded patients' health histories, documented current symptoms and pulled up records from prior visits for dentists to view and evaluate.

Sanitized trays, instruments and surfaces for clean dental office setting and patient safety. Performed general chair-side duties for general dentistry, endo procedures and oral surgery. Measured and recorded vital statistics by taking patients' blood pressure, temperature and pulse. Insurance Coordinator, 01/2020 - 03/2021

Mora Dental Center

Filed and tracked insurance claims and communicated claims status to patients. Prepared insurance claims for submission to clearinghouses or insurance companies. Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement. Obtained prior authorization and precertification for outpatient procedures. Calculated adjustments, premiums, and refunds.

Posted payments to accounts and maintained records. Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt. Contacted clients with past due accounts to formulate payment plans and discuss restructuring options. Responded to customer concerns and questions on daily basis. Processed payment via telephone and in person with focus on accuracy and efficiency. Dental Assistant, 01/2019 - 01/2020

Isle Family Dentistry

Performed general chair-side duties for general dentistry, endo procedures and oral surgery. Staged tray for procedures by arranging dental instruments and equipment. Managed office schedules and calendars to coordinate administrative planning and execution. Maintained dental supply inventory by checking stock to determine inventory levels and placing and expediting orders for supplies.

Sanitized trays, instruments and surfaces for clean dental office setting and patient safety Prepared comprehensive radiological images, allowing supervisory dental staff to spot cavities, tooth decay and areas needing treatment.

Administrative Assistant, 06/2017 - 01/2019

Woelfle Group

Generated reports and typed letters in Word and prepared PowerPoint presentations. Created detailed expense reports and requests for capital expenditures. Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors. Executed record filing system to improve document organization and management. Monitored supervisor's work calendar and scheduled appointments, meetings and travel. Produced contracts and real estate closing statements. Developed and maintained list of available properties suited to different needs and budgets for both commercial and industrial use.

Prepared purchase agreements and disclosures

Maintained efficient office operations by handling errands and administrative functions. Managed filing system, entered data and completed other clerical tasks. Managed phone and email correspondence and handled incoming and outgoing mail and faxes. Medical Call Center Representative, 06/2015 - 06/2018 Riverwood Health Care Center

Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.

Performed patient pre-admission, admission, transfer and discharge activities. Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.

Obtained signatures from financial responsibility and treatment procedures from patients or guardians. Performed patient scheduling and registration functions Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.

Collected and validated patient demographics and insurance information. Facilitated communication between patients and various departments and staff. Worked with patients to ascertain issues and make referrals to appropriate specialists. Identified insurance payment sources and listed payers in proper sequence to establish chain of payment. Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.

Dental Assistant, 11/2011 - 10/2015

Isle Family Dentistry

Performed general chair-side duties for general dentistry, endo procedures and oral surgery. Provided diagnostic information by exposing and developing radiographic studies. Cleaned and sanitized dental tools and equipment, straightened treatment rooms and restocked supplies to prep for next patient and maintain health and safety practices. Educated patients on postoperative care and best practices for protecting dental work and boosting healing process.

Recorded patients' health histories, documented current symptoms and pulled up records from prior visits for dentists to view and evaluate.

Used Softdent to document and maintain patient information and health background. Dental Assistant, 03/2010 - 11/2011

Linda Lewis

Performed general chair-side duties for general dentistry, endo procedures and oral surgery. Prepared and arranged instruments, medications and required materials for dental procedures. Cleaned and sanitized dental tools and equipment, straightened treatment rooms and restocked supplies to prep for next patient and maintain health and safety practices. Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges and other dental prosthetics.

Prepared patient X-rays and images

Documented patient dental health information, medical history and vital signs for future reference. Recorded patients' health histories, documented current symptoms and pulled up records from prior visits for dentists to view and evaluate.

Receptionist, 06/2006 - 02/2011

Children's Dental Care

Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance. Coordinated patient scheduling, check-in, check-out and payments for billing. Checked patient insurance, demographic and health history to keep information current. Helped patients complete necessary medical forms and documentation. Managed multi-line phone system

Organized paperwork such as charts and reports for office and patient needs. Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.

Understood dental terminology and insurance breakdowns to communicate with insurance companies Obtained payments from patients and scanned identification and insurance cards. Dental Assistant, 10/2002 - 09/2005

Ne-Ia-Shing Dental Clinic

Documented patient dental health information, medical history and vital signs for future reference. Scheduled appointments for new and existing customers, factoring in provider availability and scheduling loads.

Recorded patients' health histories, documented current symptoms and pulled up records from prior visits for dentists to view and evaluate.

Scheduled appointments, prepared bills and received payment for dental services by completing insurance forms, verifying insurance information and maintaining records. Assisted dentist with paperwork and billing protocol for both routine and less common procedures. Managed office schedules and calendars to coordinate administrative planning and execution. Used Dentrix to document and maintain patient information and health background. Helped dentists restore teeth by applying permanent and temporary fillings and crowns. Prepared patient X-rays and images

Assisted dentists, hygienists and other personnel by handing appropriate tools and supplies needed for procedures.

Customer Service Associate, 11/1999 - 11/2002

Herbergers

Collaborated with store management and program leadership to suggest actionable improvements and corrective action plans.

Improved operational efficiencies while managing customers requests, store inventory, transactions, new purchase orders and pricing needs.

Executes excellent sales floor merchandising and selling. Helped large volume of customers every day with positive attitude and focus on customer satisfaction. Informed customers about special promotions and provided detailed information for various products. Provided information regarding charge accounts and loyalty programs. Restaurant Waitress, 06/1994 - 10/1998

Castaways Restaurant

Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.

Maintained detailed knowledge of specials and currently available items to provide guests with informative menu descriptions.

Completed credit payments via card processing systems. Replenished food items, paper products and canned goods to keep pantry well-stocked during busy periods.

Kept register accurate through correct billing, payment processing and cash management practices. Bussed and reset tables to keep dining room and work areas clean. Accredited Claims Adjuster License: Claims Adjuster, 06/2022 Polk State Corporate College - Lakeland, FL

Diploma: Dental Assisting

Central Lakes College - Brainerd, MN

Dean's List 1999, 2000, 2001

EDUCATION

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