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Service Representative Claims Processing

Location:
Fontana, CA
Posted:
May 06, 2024

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Resume:

Experience:

Department of Veterans Affairs

Veteran Service Representative 03/2023 to Current 40+ hours per week

Ann Eubanks-Supervisor

Decision Making

I process unusually complex claims. I provide second signature on highly complex authorization issues or higher-level administrative decisions. I develop methods for mentoring members of the team on technical aspects of the job. I provide training consistent with training needs. I work with lower-grade employees to ensure their tasks are completed within the deadline established by the Team’s supervisor. I function as an authoritative consultant on the technical aspects of claims processing. I analyze, develop and request evidence for claims.

Oral Communication

I verbally communicate with veterans, employees and supervisors as necessary.

Problem Solving

I Identify problems; determine accuracy and relevance of information; use sound judgment to generate and evaluate alternatives, and to make recommendations.

Reasoning

I have the ability to interpret and apply laws and regulations pertaining to VA benefits: Understand and interpret written material, including technical manual regulations, rules, regulations and apply them to claims processing.

Written Communication

I communicate, in writing, decisions on claim and information for lower-graded employees when advising them on completing a claim.

Experience:

Atlas Realty Group Murrieta, CA

Realtor 01/2021 to Current-40-60 hours per week

William King-760-***-**** - Supervisor

Decision Making

I have strong time management and organizational skills to keep track of appointments

and commitments with buyers and sellers to appraise property values. I advise clients on

market conditions, prices, mortgages, legal requirements, and related matters and

promote sales of properties through advertisements, open houses, and participation in

multiple listing services. I demonstrate exceptional lead generation by utilizing aggressive

marketing and personal referrals from satisfied buyers and sellers to develop extensive

client base and educate buyers and sellers about all aspects of the housing market and

property sales process. I supervise all marketing activities and keep track of which

strategies lead to an increase in interest in properties and the business. I exceed sales

goals by an average of 10-15% annually.

Oral Communication

I work as part of a team with colleagues, sellers and buyer to provide the most update

information in Real Estate industry. This requires excellent communication skills as I

network and communicate with potential clients as well have to be able to write clear

property listings that will appeal to buyers. I accompany buyers during visits to and

inspections of the property, advising them on the suitability and value of the homes they

are visiting. This requires good verbal communication skills to be able to speak with client,

financial professionals and other Realtors. Outstanding promotional and marketing skills to

attract buyers and establish my client base through referrals, advertising and outreach.

Problem Solving

Acting as an intermediary in negotiations between buyers and sellers, I generally represent

one or the other. I promote the sales of properties through advertisements, open houses,

and participation in multiple listing services. Meeting with prospective tenants to show

properties, explaining terms of occupancy, and providing information about local areas. As

a Realtor, I regularly have to solve problems for my clients. For instance, a client might tell

a real estate agent they need a home by a specific date that is approaching quickly or they

might have a very specific list of things they need in their new home that are hard to find. I

do my best to solve these problems effectively for my clients which some problems I face

need creative thinking to resolve.

Reasoning

Great client service skills and ability to understand the needs of my clients in terms of what

they are looking for and what is practical within their price range. I have excellent

negotiation skills with clients and other realtors to arrive at agreeable sales terms. I and

able to negotiate well while following the regulations and rules of their local real estate

industry. For instance, I often need to present an offer in writing to the broker representing

a property that's for sale, and then the negotiation process can be complex. As a Realtor, I

having a clear understanding of my client needs is critical represent those needs during

the negotiations.

Written Communication

Conferring with escrow companies, lenders, home inspectors, and pest control operators

to ensure that terms and conditions of purchase agreements are met before closing dates.

Coordinating property closings, overseeing the signing of documents and disbursement of

funds. I prepare documents such as representation contracts, purchasing agreements,

closing statements, deeds, and leases. Negotiating the sale, lease, or development of

property and completing or reviewing appropriate documents and forms. This requires

good verbal communication skills to be able to prepare documents and speak with client,

financial professionals and other Realtors. Outstanding promotional and marketing skills to

attract buyers and establish their client base through referrals, advertising and outreach.

Computer Skills

PropTech (Property Technology) uses information technology to help people research,

sell, buy, or manage the property. kvCORE, Follow Up Boss, Qualia, Propertybase

powered by Lone Wolf, Top Producer CRM, Zillow Premier Agent, k+TEAMS, Buildout

CRM, Lone Wolf Back Office (brokerWOLF), and CORE BackOffice.

Naval Sea Logistics Center (NSLC) Supervisor Norco, California

Dave Cantu-682-***-****

Mail Assistant (GS-0305-06) 02/2021 to 03/2022 40 hours per week

Dave Cantu-682-***-**** - Supervisor

Decision Making Skills

Exercised judgement involving intimate knowledge and processed actions of technical

and complex mail classifications.

Oral Communication

As subject matter (SME) I analyze factors presented by situations to determine the value

and weight of evidence and its relevance to the programs functions and policies. Such as

received, sorted, collected, meter postage, processed, delivered, and directed the

distribution of incoming and outgoing mail.

Problem Solving

I use critical thinking skills to make official decisions based on public, and legal evidence

of federal laws, regulations, and procedures of the organization.

Reasoning

I explain and defend judgments I make about decisions to a diverse group of people that

have critical implications by examining all mail material for evidence of tampering,

damage, compliance with packing and labeling requirements.

Written Communication

I ensured all incoming and outgoing mail was in adherence with all regulations, policies,

procedures and other applicable guidelines and laws.

Nakupuna Solutions Norco, California

Logistics Analyst April 2020 to Feb 2021- 40 hours per week

Chad Wilkinson-442-***-**** - Supervisor

Decision Making

Contracted for identification, gathering, tracking, and processing of material and records.

Reporting quantities of on-hand materials and updating the Navy's system with accurate

inventory data.

Oral Communication

Composed and submitted reports, correspondence, memoranda, briefings and other

written material on a wide range of complex internal matters affecting the agency.

Reasoning

Researching items for Navy ERP induction and excess totaling over $1,000,000. Ensuring

material and handling follows established corporate processes and procedures.

Written Communication

Demonstrated superb written communication techniques required to format, edit, and

distribute standard documents, correspondence, briefings, reports and issue papers.

478th Transportation Company (U.S. Army) LT Gibbons, Camp Pendleton, California

Brett/ 805-***-****

Logistics Specialist 07/1998 to 08/2018-40+ Hours per week

LT Gibbons, Brett/ 805-***-**** - Supervisor

Decision Making

Utilized price/cost analysis to prevent fraud, waste and abuse as the Government

Purchase Card holder for three units. Complied and enforced policies and procedures

when purchasing goods and services with government purchase card and adhering to all

terms and conditions when contracts were awarded. Inspected and completed work for

accuracy and compliance with established procedures. Property custodian for

approximately 3.2 million in Army property to include communications, Qualified and

served as unit Equal Opportunity Leader. Provided procedural information to complainants

on civil rights for the individual and employers. Responsible for evaluating the company to ensure they are in compliant with equal opportunity laws, guidelines, and policies.

Investigated reports of noncompliance and acted as an arbitrator to settle disputes in the

cases of equal opportunity complaints. Qualified and served as Unit Prevention Leader.

Oral Communication

Independently maintained the Unit Supply inventory, to include placing all requisitions for

Battalion leadership and their staff. Managed the Battalion's supply budget and reported

discrepancies to appropriate Battalion leadership.

Problem Solving

Assisted the commander in planning, implementing, and executing an outstanding unit

level substance abuse program. Briefed all new unit personnel regarding Army Substance

Abuse Program; polices and services. Developed, coordinated, and delivered informed

prevention education and training to the unit.

Prepared all unit/organizational supply documents. Maintained automated supply system

for accounting of organizational and installation supplies and equipment. Issued and

received small arms. Secured and controlled weapons and ammunition in security areas.

Scheduled and performed preventive and organizational maintenance on weapons.

Provided technical guidance to lower grade personnel.

Reasoning

Analyzed and improved financial management within the units. Worked with processes for

reconciling general ledger defects, accounting errors, or specifically unmatched

transactions. Developed and presented formal briefings and presentations to senior

leaders.

Written Communication

Received, inspected, inventoried, loaded, unloaded, segregated, stored, issued, delivered

and turned-in organization and installation supplies and equipment. Operated unit level

computers. Communicated orally with the demonstrated ability to elicit information,

confidence, and cooperation from people of varying backgrounds.

Computer Skills

Prepared and coordinated deliverables with Battalion and unit using superb computer

skills in Microsoft Office, Outlook, and SharePoint to communicate and collaborate

effectively. Utilized databases to research and analyze Property inventories; input data

related to property adjudication, processing, and monitoring; and developed decisions or

made recommendations for additional inventory procedures.

Education:

National University San Diego, CA

Masters Strategic Management 06/2024

National University San Diego, CA

Bachelors Business Administration 06/2022

Strayer University Columbus, Ohio

Acquisition Management completed over 90 credit hours 1/2014

Wayland Baptist University Anchorage, AK

Associates Degree Business Administration 08/2004

References: Available upon request



Contact this candidate