Claims Processor Customer Services
Resume:
Christine Ely
**** ******* **. **** *****, TX ***12
ad30sf@r.postjobfree.com
SUMMARY: I would like to obtain a responsible and challenging position that will allow me to use my years of experience.
WORK EXPERIENCE:
Encompass Insurance – Kelly Services
1111 North Point
Coppell TX 75063
Claims Processor in Operations
3/ 14/ 2018 - 12/07/2018
● Outbound and Inbound calls from Insured or
Contractor
● Verified Claims (CAT Claims)
● Open Claims Report
● Invoice Processing, Eagleview Processing, Plus
Contact Date Review
State Farm Insurance – Eberle’s Vendor
3950 Regent
Irving, TX 75063
Claims Processor Fire and Auto ILR- Customer Services 12/14/16 –12/28/2017
● Take inbound calls from Insured to set up their claim.
● Agent calls for some of their insured and they set up the claim for the insured.
● I escalation calls to right place.
● Set up Water Mitigation for some insured. Team Lead over 15 peoples.
Encompass Insurance – Kelly Services
8711 Freeport Pkwy
Irving, TX 75063
Operation Claims Processor/ Customer Services
4/10/16 – 6/29/2016
● Verify insured claim information and update the claim
● Pay invoices for different vendor
● Inbound calls and Outbound calls
● Mainframe, Next Gen Plus, XACT analysis
AllState Insurance Claims Associates for Medicare – Kelly Services 8711 Freeport Pkwy
Irving, TX 75063
Claims Processor / Customer Services
3/14/16 – 4/9/2016
● Verify the Medicare Coverage
● Data Entry
● Have Multiple state to verify the Medicare coverage. AllState Insurance Catastrophe Support – Kelly Services In Property Claims
8711 Freeport Pkwy
Irving, TX 75063
Claims Processor / Customer Services
7/13/2015- 1/22/16
● System XACT analysis, Plus, Share Folder, SP
● Eagle view
● Mainframe
● Take inbound call for North Light Insurance and setup the FNOL, which is known as First Notice of Loss
AllState Insurance Subrogation Department -Kelly Services 8711 Freeport Pkwy
Irving, TX 75063
Claims Processor/ Customer Services
07/17/2013 –7/13/15
● Outbound calls
● Data Entry
● Updated Insured information calling Third Party
Companies
● Quality Control QRG’s spot check two people per day. AUTOCAT – AllState Insurance – Kelly Services
8711 Freeport Pkwy
Irving, TX 75063
Claims Processor / Customer Services
12/03/2012 – 02/06/2013
● Inbound and Outbound calls
● Processor Claims
● Position requires ample time on the phone with the Customer and Agencies.
● Customer Services
● Filing, Scanning, Faxing, Copying
ARLINGTON MEMORIAL HOSPITAL
800 W. Randal Mill RD.
Arlington TX, 76012
Unit Secretary
04/2006 – 03/2011
● Telephone Management: Patient Records; Medical
Records;
● Patients Charting.
● Customer Services; Data Entry; Filing
● Utilized Windows, Meditech System, Care Connect
UNIVERSITY
Dr. PHILLIP E. COHEN D.O.,
Internal Medicine
1200 Country Club Lane
Fort Worth, TX 76112
Office Assistance
03/2007 – 01//2008
● Customer Services, Scheduling, Data Entry, Filing,
● Place order for patient prescription.
● Verify Insurance
ST. JOSEPH MERCY HOSPITAL
44405 Woodward Ave.
Pontiac, MI 48341
Clerk/ Customer Services
03/1999 – 11/ 2003
● Telephone Management; Patient Records; Medical
Records;
● Customer Services; Scheduling; Data Entry; Verify Insurance; Filing
● TDS Mars, Compaq, Microsoft Word.
EDUCATION:
● Auto Adjuster License #2102253 TX
● San Joaquin Valley College – Associate of Science – Clinical Medical Assisting- 2010- 2012
Contact this candidate