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Finance, Healthcare and Claim Adjuster

Location:
Geumsan, Chungcheongnam-do, 32748, South Korea
Posted:
March 29, 2024

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Resume:

DENISE E King

***- ***-****, ***- ***-**** ad4nzy@r.postjobfree.com Deltona, Florida 32738

PROFESSIONAL SUMMARY

CONTACT SKILLS Account Reconciliation Due Diligence Local, State and Federal Tax Returns IRS Correspondence Organizational Abilities Individual Tax Returns Information Processing Deductions Understanding Individual Returns Preparation Electronic Filing Software Valid PTIN Adjustments and Deductions Trained in Tax Software Prepare Returns Internal Revenue Service Correspondence Finance Claim Adjuster- Licensed Remote Notary -Licensed Time Management Data Inputting Dedicated professional with experience in preparing taxes for individuals and small businesses. Proven track record of successfully understanding and interpreting tax regulations and filing taxes accurately and efficiently. Possesses excellent communication and customer service skills and a commitment to providing quality service. Dedicated claim adjuster with experience in Workers Compensation claims. Proven track record with time management and accurate information and client relations. Dedicated Medical Insurance and Specialty Pharmacy individual. Proven record of patients and insurance companies retention with over 50 years experience. Proven as a very passionate individual in seeking copay assistance for all patient specialty medication with company and patient in a win position. SKILLS

Team Leadership Teamwork Customer Service Dependable and Reliable Conflict Resolution EXPERIENCE

ELIGIBILITY SENIOR REPRESENTATIVE, Orlando, Florida Cigna/ Accredo Health Insurance/ Pharmacy, March 2003-Present

• Proactively communicate with field staff nurse management and patients

• Post and collect payments

• Prepared a variety of forms including 1040s, 1099s, W-2s

• Utilized tax preparation software to accurately prepare tax returns.

• Interviewed clients to obtain additional information on taxable income and deductible expenses and allowances. CLAIMS ADJUSTER, Maitland, Florida

Amtrust Financial Services, February 2002-Present

• Followed AmTrust policies and procedures in managing claims

• Investigated claims and coverage by making timely and appropriate contracts with interested parties

• Evaluated, established, maintained, and adjusted reserves based on company standards

• Skillfully negotiated claims to ensure quick resolution Communicatated with internal managed care and medical resources to ensured coordination with injured workers., Obtained prior authorization for specialty medication following company policies

• Follow quality and production standards while complying with all state and federal programs

• Worked with pharmacy reimbursement, and nursing department coordination

• Work closely with the prescribers to fax, track, and obtain orders for specialty medication

• Respond timely to inquires from patients, field staff, management, prescribers

• Trained associates on existing and New programs associated with the Company

• License in Claim Adjuster 6-20 all lines

TAX PREPARER, Deltona, Florida

Let's Get Paid Tax Solutions, LLC

EDUCATION

HIGH SCHOOL DIPLOMA, Orlando, Florida

Maynard Evans High School, April 2022

LICENSE CLAIMS ADJUSTER IN CLAIM ADJUSTER, Orlando, Florida University of Central Florida, March 2021

NOTARY, Orlando, Florida

Valencia Community College, Notary Association, February 2003 CERTIFICATION IN FINANCE, Salt Lake City, Utah

University of Utah, February 1999

LICENCED NOTARY IN REMOTE NOTARY, Orlando, Florida National Notary Asso, January 1999

CERTIFICATIONS

• GG 986759 Notary Commissiom • PTIN: PO1242974 IRS

• A926 21 Claim Adjuster



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