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Claims Examiner Customer Service

Location:
Orange, CA
Posted:
February 02, 2024

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Resume:

RAQUEL

LINDBERG

CLAIMS EXAMINER

PROFILE

Highly organized Claims Examiner with

** *****’ experience in the medical

field. Able to handle assigned claims

following company guidelines and

industry best practices with a minimal

amount of supervision. Excellent written

and communication skills.

CONTACT

PHONE:

714-***-****

EMAIL:

ad3a0z@r.postjobfree.com

ADDRESS:

278 E Rose Ave

Orange, CA 92867

WEBSITE:

https://www.linkedin.com/in/rachel-

lindberg-6437a3a5/

EDUCATION

NOTARY PUBLIC, California Notary Commission, October 2023 DEATH INVESTIGATION, Santa Ana Rancho Community College AUGUST 2006

CERTIFICATE FOR MEDICAL TERMINOLOGY, Orange County Business College May 2005

WORK EXPERIENCE

OFFICE ADMINISTRATIVE ASSISTANT, Melrose Abbey Memorial Park & Mortuary, July 2022 - Present

Provided exceptional customer service on the phone and in person by consulting with grieving families in order to design, create, and personalize memorial folders. Administrative responsibilities included processing payments, running reports, and preparing deeds. Used bilingual skills to translate for Spanish speaking families. Uploaded information to the company website.

CLAIMS EXAMINER, Myers-Stevens & Toohey Co., Inc

August 2001 – November 2020

Evaluated the adjudications of claims to detect incorrect coding, fraudulent billing practices and over payment. Managed a caseload of 30 claims and 16 calls per day. Adhered to state specific policies and regulations.

PATIENT ACCOUNT REPRESENTATIVE, Medical Office Services March 2001 – August 2001

Coded data batches with corresponding insurance, physician codes and patient information. Investigated insurance carrier correspondence. Manage accounts receivable and prepared deposits.

ASSISTANT ADMINISTRATOR, Elevate Ministries

January 2020 – April 2022

Oversaw 30 students ranging from 1st to 6th grade. Scheduled volunteer workers and created curriculum. Ensured station rotations included physical exercise, hands on activities and mental wellness. SKILLS

80%

97%

95%

85%

97%

Bilingual (Spanish)

Microsoft Office

Customer Service

Process Improvement

Quality Assurance



Contact this candidate