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Vision Claims Processor, Medical Claims Examiner, Massage Therapist

Location:
Carmichael, CA
Salary:
22.00/hour
Posted:
January 04, 2024

Contact this candidate

Resume:

William Bonini

Carmichael, CA *****

ad2f5x@r.postjobfree.com 916-***-****

linkedin.com/in/william-bonini-22440840

Summary

Detail-oriented team player who possesses strong organizational, analytical, and critical thinking skills, with the ability to assimilate and apply information and procedures easily. Strong time-management, judgment and decision-making skills, as well as excellent customer service and communication skills. Experience

Fact-Finding Agent

Randstad USA

Nov 2021 - Mar 2023 (1 year 5 months)

Contracted to Maximus for CA EDD

Responsible for reviewing unemployment insurance claims to determine if ther are any outstanding issue that need resolution. Analyze all information, notes, and documentation to identify gaps or discrepancies in information. Perform outreach to claimants and/or employers to obtain necessary information, notate that in the claim file, and forward detailed notes as required to resolve the issue. Claims Clerk

Vision Service Plan Insurance Company

Feb 2018 - Mar 2019 (1 year 2 months)

Managed workload and priorities to meet claims processing metrics and goals. Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards. Utilized excellent analytical and problem-solving skills to quickly and accurately assess claims. Maintained confidentiality of patient protected health information and complied rigorously with HIPAA laws. Assisted in onboarding of new claims processors to familiarize them with procedures, policies, and processes.

Customer Service Representative

Vision Service Plan Insurance Company

Jun 2015 - Feb 2018 (2 years 9 months)

Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns. Updated account information to maintain customer records. Responded to customer requests for products, services and company information. Offered advice and assistance to customers, paying particular attention to special needs or requests. Bartender

University of Beer

Jun 2014 - Jun 2015 (1 year 1 month)

William Bonini - page 1

Insured fast, and courteous customer service in a high-volume craft brew establishment, with particular focus on extensive product knowledge to make appropriate suggestions to suit the customer. Certified Massage Therapist

Massage Envy

Aug 2005 - Sep 2011 (6 years 2 months)

Communicated with clients to discuss medical history, lifestyle and massage treatment goals. Maintained client treatment records and designed long-term care programs. Customized sessions by utilizing multiple massage techniques to address myofascial dysfunction, and to help in the rehabilitation of injuries.

Certified Massage Therapist

Johnson Ranch Racquet Club

Apr 2004 - Jul 2006 (2 years 4 months)

Communicated with clients to discuss medical history, lifestyle and massage treatment goals. Maintained client treatment records and designed long-term care programs. Customized sessions by utilizing multiple massage techniques to address myofascial dysfunction, and to help in the rehabilitation of injuries.

Certified Massage Therapist

Progressive Chiropractic

Aug 2002 - Aug 2005 (3 years 1 month)

Communicated with clients to discuss medical history, lifestyle and massage treatment goals. Maintained client treatment records and designed long-term care programs. Customized sessions by utilizing multiple massage techniques to address myofascial dysfunction, and to help in the rehabilitation of injuries.

Auto Claims Representative

USAA Auto Insurance

Jan 1998 - Apr 2002 (4 years 4 months)

Investigate and adjust complex auto claims involving injury. Establish appropriate claims reserves and review reserve levels throughout the claims process. Negotiate with first and third party claimants, as well as with legal representatives to determine settlement of auto, property, and medical claims related to auto accidents.

Office Cashier

Mike Daugherty Chevrolet

Aug 1996 - Jan 1998 (1 year 6 months)

Reconciled cash drawer at start and end of shift, accounting for errors and resolving discrepancies. Used POS system to enter orders, process payments and issue receipts. Answered customer inquiries and clarified detailes regarding charges.

Bartender

Moose McGillycuddy’s Pub & Cafe

William Bonini - page 2

Jun 1986 - Jun 1994 (8 years 1 month)

Insure fast and efficient service to customers in high volume bar and restaurant. Supervise bar staff, and maintain consistent quality of service, as well as accurate accounting of funds.

Medical Claims Examiner

Prudential Insurance Company

Aug 1982 - May 1986 (3 years 10 months)

Review medical expenses submitted by members and providers to determine appropriate handling of claims based upon the members medical coverage.

Education

Seton-La Salle Catholic High School

High School Diploma

1977 - 1981

Healing Arts Institute

Certificate, Massage Therapy/Therapeutic Massage

1999 - 2001

Skills

benefits administration • cashier • customer relations • customer service • insurance • Organization Skills • Problem Solving • Complaint Management • Decision-Making • Communication William Bonini - page 3



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