Customer Service Personal Assistant
Resume:
Donata Allen
Holly Hill, FL *****
***********@*****.***
Self-discipline and attention to detail helps me work well on my own in a remote environment. My extensive customer service background and strong computer skills make training others an asset that employers often utilize me for, and I enjoy creating the training programs. A strong base in medical terminology and general medical education, has been an underlying treasure in all of my prior employment.
Authorized to work in the US for any employer
Work Experience
In Home Caregiver
Self-employed - Ocala, FL
September 2022 to Present
Responsibilities:
Home health coordination
Cancer treatment coordination
Lymphedema therapy assistance
Meal preparation, cooking and planning
Medical Dressing changes
House and Pool cleaning and maintenance
Driving to appointments
Medical decisions during surgery
Pet sitting
On-scene Bodily Injury Adjuster
Custard Independent Adjusters - Ocala, FL
August 2019 to September 2022
Responsibilities:
On-scene commercial/auto accident investigations in collaboration with defense counsel for fatality and severe injury.
Damage documentation and statements.
Negotiations for settlement with represented and non- represented parties. General file handling and detailed diary entries.
Well checks on claimants for long term disability. Recipient of a Daily Scoops claimant accolade in the company paper. High metrics in case handling.
Reason for leaving: moved to be close to family.
State Farm - Receptionist & Personal Assistant
Nathan Thomas State Farm - Wildwood, FL
March 2017 to August 2019
Responsibilities:
Ability to multitask, detail oriented, quick learner with substantial organizational skills. Strong Customer service experience & ability to relate to customers. Solid Communication background: able to relay information to customers & co-workers. Office duties:
Familiarity with Windows, Outlook, ABS & NECHO System platforms. Schedule sales representative appointments.
Multi-line phone call Routing & Mail Distribution. Knowledge of general office equipment: Fax, scanner/printer, coffee, etc. Handle sensitive documents, data verification, Money & Billing concerns. Extensive knowledge of insurance products.
Personal Assistant Duties for Owner:
Coordinate personal & office Calendar, Personal events & Travel arrangements. Schedule Training & Outlook Meetings
Created PowerPoint training videos for the Receptionist position. Reason for leaving: recruited away for higher pay and a remote position.
General Liability & Casualty Claims - Staff Adjuster Westfield Insurance Group - Lake Mary, FL
December 2014 to August 2016
Responsibilities:
High levels of data entry input & validation.
Manage customer expectations, customer service & Rental control. Fair Claims Practice & HIPPA compliance.
Loss exacerbation reviews, File presentations & reports for Management & Legal Dept. Conclude settlement negotiations for Non-Represented parties with company Release. Maintain attorney relations & Negotiate pre-litigation settlements. Claim Investigations: Scene, Liability & Fraud with SIU involvement. Medical Records reviews: Analyze for Contra-indicated treatment & patient non-compliance. Worker's Compensation non-compliance reviews.
Billing reviews: Over billing, bundling, repeat or unauthorized coding levels. Computer assisted IDC 10 analysis.
Reason for leaving: Moved due to family emergency.
Casualty Claim Adjuster & Legal Liaison
Nevada General Insurance - Las Vegas, NV
January 2013 to February 2014
Business/Process Analyst 2013-2014.
Responsibilities - Analyst:
Analyze & update company processes & forms: Efficiency gains via automatic data population & report generation. Macro enable all existing forms to auto-populate direct from system. Outlining & updating procedural requirements & compliance documentation. Assistance to I.T. with Beta testing & System stressing. Continued responsibilities as a Claim Adjuster and as we reduced employees I stepped in to operate mail processing machinery.
Reason for leaving: I worked my way up through the company until I was assisting the Claims & Legal Supervisors. The company was bought out.
Liability & Casualty Claims Adjuster
Nevada General Insurance - Las Vegas, NV
January 2005 to February 2014
Analyze & update company processes & forms: Efficiency gains via automatic data population & report generation. Macro enable all existing forms to auto-populate direct from system. Outlining & updating procedural requirements & Compliance documentation. Assist I.T. with testing Beta testing and System stressing. Manage customer expectations throughout the claims process. File presentations for file values on round tables, to upper management & Legal Counsel. Negotiate Injury Settlements.
Level 3 independent settlement authority up to $5,000.00 (2nd highest in the company). Monitor files for Lawsuits & place files in to Suit for Legal Department. Legal File preparation for Law Suits filed.
New Claim Assessments: Coverage, Liability, fraud & scene investigations. Identify loss exacerbation potentials.
Bodily Injury Evaluations:
Manual cost analysis: Billing & Coding. Research: Service bundling, up-coding, ICD9 & CPT verification. Authenticating lost wages/tips (shift premium differences) & over-time. DUI/DWI verification & limits exposure/exacerbation assessments. Medical records review:
Contraindications for minors.
Conflicting treatment protocols & treatment compliance. File preparation for Independent Medical Reviews (IMR).
Expeditor
Nevada General Insurance - Las Vegas, NV
January 2005 to January 2006
Claims intake & distribution
Adjuster load balancing & assignment
Initial Contact - point of control
Customer Service
Data entry & extensive computer skills: Outlook, NECHO, Excel, PowerPoint, MS Word Promoted to Liability Adjuster 2006 - 2007; Promoted to Casualty adjuster: 2007
Education
Bachelor's in Kinesiology /Sports Injury Management University of Nevada Las Vegas - Las Vegas, NV
1996 to 1999
Course Work in Pre-medicine & Sports Medicine
Longwood College - Farmville, VA
1995 to 1996
Course Work in Nursing
Richmond Memorial School of Nursing - Richmond, VA 1994 to 1995
Internship: Physical Therapy Technician
Health South - Williamsburg, VA
1993 to 1995
Associate in Business Administration
Rappahannock Community College - Rappahannock County, VA 1992 to 1994
Skills
• Windows (10+ years)
• Microsoft Outlook (5 years)
• Powerpoint (5 years)
• ABS & NECHO (2 years)
• Printer, Fax, Scanner - Basic office equipment (10+ years)
• Multi-Line Phone System (3 years)
• Mail distribution (5 years)
• Typing 50 WPM (10+ years)
• Money Handling (10+ years)
• Customer Service (10+ years)
• medical records reviews (9 years)
• 10-key (10+ years)
• Front Desk
• Front Office
• Reception
• HIPAA
• CPS System (2 years)
• Caregiving
• Customer service
• Computer skills
• Microsoft Office
• Pet Sitting
Languages
• Spanish - Beginner
• French - Beginner
• Japanese - Beginner
Certifications and Licenses
Adjuster's License in FL - current. Prior licenses held in: NC, SC, FL, VA, MD, NV, NM, AZ
January 2005 to Present
Recently re-certified for my FL 620/520 with self-appointment. Driver's License
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