Claims examiner

Daniel Archie

**** ***** **** ******, *****, NE *8111

402-***-**** ***********@*****.***

OBJECTIVE: Seeking full-time employment that will allow me to showcase my strong work ethic, my ability to work independently or in a team, and learn new skills while continuing to be an asset. SKILLS:

18+ years of coaching and mentoring youth

Nothing less than a dedicated professional

8+ years warehouse experience, running various pallet jacks and forklifts

Well-versed in the use of Microsoft Office Suites

Possess 5+ years of excellent customer service and active listening skills

Excellent verbal communication skills

Ability to prioritize and complete multiple tasks simultaneously

Highly motivated team leader who can work efficiently and independently

Excellent learning and adaptability skills

Can provide accurate information while meeting necessary deadlines

Dependable and punctual worker with a can-do attitude PROFESSIONAL WORK EXPERIENCE:

Express Pro, Machine Operator, Omaha, NE August 2023 – November 2023

Prepared sorted, packed, and labeled materials and supplies to be shipped

Performed general maintenance and custodial tasks of warehouse facilities and equipment

Maintained a detailed and accurate log of all items that were shipped, received, or moved within the area of responsibility Linked In, Fraud Analyst, Omaha, NE August 2021 – October 2022

Determined existing fraud trends and assisted in the prevention of future trends

Generated suspicious activity reports and risk management reports for supervisors and managers

Performed verifications on new and existing accounts

Proactively monitored and reviewed electronic account and transaction data for suspicious activity and possible fraud Mutual of Omaha, Claims Examiner, Omaha, NE April 2021 – September 2021

Entered and processed claims with right adjudication in accordance to insurance policy terms and conditions

Maintained communication with providers for claim clarification

Effectively analyzed and coordinated benefits for payments on health claims Signature Performance, Claims Processor, Omaha, NE September 2019 – September 2021

Determined if claim submission was completed correctly, verified data and entered system information for adjudication

Effectively analyzed and coordinated benefits for payments on health claims Daniel Archie

3730 North 43rd Street, Omaha, NE 68111

402-***-**** ***********@*****.***

Processed coordination of benefits claims in a timely manner under a deadline Omaha Elite, Basketball Coach/Organizer, Omaha, NE March 2015 - Present

Helping students receive basketball scholarships to college

Organize the players to participate in games and coach them during the games

Provide a safe and enjoyable environment for all players

Responsible for serving as a positive role model to players, parents, and officials VOLUNTEER WORK:

Life Changes, Omaha, NE Youth Speaker Volunteer Worker EDUCATION:

Bellevue University, Bellevue, NE Bachelor’s in Human Services In Progress Minnesota West Community College, Worthington, MN Associate’s in Behavioral Health/Accounting Graduated Omaha South High, Omaha, NE Diploma Graduated

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