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Customer Service Claims Examiner

Location:
Grand Terrace, CA
Posted:
April 29, 2024

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Resume:

STEVE RAYMOND CLARKE

***** ******* ** *** ****

Grand Terrace, CA 92313

951-***-****

ad5cy5@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

Eight years of direct sales to businesses

Twelve years of stores sales

Fifteen years Claims Examiner with State of California.

EDUCATION:

•Bachelor of Science, Organizational Management, University of La Verne, California

PROFESSIONAL EXPERIENCE:

October 2020- November 2020 Apple One Employment Agency

Election Ballot Assistant

June 2002 - June 2017 Employment Development Department, Riverside, CA

INSURANCE CLAIMS EXAMINER

•Employment Development Department, Riverside, CA

•Provides customer service by answering general and claim-specific request for information

•From the public, including claimants, doctors, attorneys, insurance companies, and employers

•Strives to resolve a caller’s issue(s) in a single telephone conversation.

•Uses appropriate manuals and other resources to ensure accuracy and consistency.

•Documents all claim actions properly for accountability and for appropriate follow-up. Enters

•All information into the Single Client Data Base (SCDB).

•As a field office team member:

•Demonstrates a high degree of professionalism, courtesy, and consideration in all phases of work both

•Internal and external customers.

•Understands and adheres to rules and procedures regarding confidentiality of Department records, system

•access and individual passwords. Protects program integrity by identifying and reporting any suspected

•fraudulent claims/activities.

•Assists the supervisor and manger in special studies and projects, as requested and in data gathering for

•statistical reporting/analysis.

•Actively participates in office, unit, and team meetings, and in training sessions. May act as a facilitator.

•Provides suggestions for process improvement.

•Participates in public information activities by furnishing information to programs various customers.

•Participates in office TQM projects and processes. Demonstrates an awareness of the Department and

•Branch vision, mission, values and goals.

•Performs other duties as assigned.

June 2001 – June 2002, OTIS SPUNKMEYER INC, Riverside, CA

ROUTE SALES REPRESENTATIVE

•Maintained established accounts by providing good customer care.

•Informed providers with information on how products are selling and how to increase revenue.

•Developed new accounts by calling on potential customers and making presentations on how to

Increase revenue by showing daily reports on how products are selling.

•Resolved customer complaints either through telephone calls or meeting directly with customers face to face.

October 2000 – January 2001, RCP SERVICES, Ontario, CA

ACCOUNT SALES REPRESENTATIVE

•Provided customer service care to establish accounts and maintained sale all sales records.

•Replenished accounts and provided inventory accountability for office budgeting.

•Developed new accounts by cold calling to potential customers and making sales presentation on how accounts can

be successful.

•Resolving customers’ complaints in a timely manner and making sure that customers were satisfied with their products.

October 1999 – May 2000 ORKIN PEST CONTROL INC, Riverside, CA

BRANCH ACCOUNT MANAGER

•Develop new accounts by cold calling.

•Instructed clients on pest elimination’s and prevention.

•Informed clients on food safety risks.

•Developed sales plan to potential customers.

•Giving customers the best sales advice on how to maintain their accounts.

•Do weekly inspections and maintenance.

•Check food service area on pest control and prevention.

July 1999 – October 1999 DATA TEC SERVICES, Ontario, CA

SHIPPING AND RECEIVING CLERK

•Responsible for shipment and delivery of materials.

•Kept accurate inventory of company supplies.

•Assisted with processing and data entry of outgoing mail.

•Maintained daily inventory report on equipment.

June 1994 – November 1998 OTIS SPUNKMEYER INC., Riverside, CA

ROUTE SALES REPRESENTATIVE

•Established new accounts by cold calling

•Maintained and expanded store merchandise.

•Responsible for truck inventory and cash

•Entered daily cash report into computer database

August 1992 – October 1999 KMART CORPORATION, Industry, CA

ASSISTANT MANAGER

•In charge of store merchandising and supervision.

•Prepared and presented weekly sales reports.

•Resolved customers’ complaints and problems.

•Implemented changes and enforced company policies

•Discipline employees under my supervision

•Updated employees payroll

•Monitored store inventory and work directly with store security on prevention and theft of merchandise.

References Provided Upon Request



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