Customer Service General Office

Sarah M.Miller

**** **. ******** *****

West Jordan City,Utah 84081

Home:801-***-****

Profile:

Over four years of general office,claims processing and customer service experience in the insurance industry;promoted from mail clerk to claims processor in less than a year. Recognized by management and given promotion opportunities as a result of accuracy, efficiency,and commitment to excellence.

Areas of Effectiveness

CLAIMS PROCESSING /APPEALS

Wrote letters to providers,and members detailing reasons for denial or approval of original decision.Accurately determined if a claim met the members benefits as per the agreed upon contract.Adjudicated claims in order to determine if any member cost had been accrued. Maintained a high level of knowledge about a constantly changing set of rules and policy. SPECIAL EVENTS COORDINATOR

Coordinated special events for a substance abuse facility in order to promote the success of the clients of the facility. Events included recreation and fund raising activities,family lab,holiday events,facilitating collection of donations,and other activities designed for the growth and success of women in substance abuse treatment.

STAFF SUPPORT AND CUSTOMER SERVICE

Answered and documented incoming phone calls from customers of Altius Health Plan and provided accurate information to them as requested.Acted as the customer’s advocate in ensuring that their concerns were fully addressed.Aided people in the community by providing information about House of Hope treatment facility.Assisted House of Hope staff by completing general office duties as assigned.

MANAGEMENT

Managed all aspects of a fast food restaurant,including resolving customer complaints, scheduling employees,checking food products for quality,monitoring accuracy of inventory, handling corrective action of employees,opening and closing the restaurant,and ensuring the work area was clean and orderly.Also managed a house belonging to a treatment facility by monitoring all members and their duties.Maintained a supportive environment free of aggression and violence where assertive discussion about delicate real life situations was facilitated.

WORK EXPERIENCE

Deseret Industries/Customer Service/Cashier

I facilitate a customers question and needs from beginning to end.I ring up their purchases in a timely manner.I am very accurate on my register tills and fully accountable of all monies recieved.I assistant the lead over cashiers as well as on the floor.(2009-present) Volunteer Special Events Coordinator /House Leader /Staff Support: House of Hope Treatment Facility,Salt Lake City,Utah Coordinated events for residents at the treatment facility,and supported staff by completing general office duties such as copying and distributing documents.(2007-2008) Homemaker:Salt Lake City,Utah (2002-2007)

Claims Processor /Grievance and Appeals Analyst /Customer Service: Intergroup /Combined Benefits /Altius Health Plan,Salt Lake City,Utah Processed insurance claims for payment or denial,addressed customer concerns,interpreted program rules and procedures.(1995-2002)

Food Service Manager:

Taco Maker,Salt Lake City,Utah

Managed all aspects of the fast food restaurant,including food preparation,food service, cashiering,and administrative operations.(1992-1995) EDUCATION

High School Diploma

Salt Lake Community High School

Salt Lake City,Utah 1993

Certificates

Received certificate for proficiency in Medical Terminology Special Awards and Recognition

Awarded Employee of the Month at Altius Health Plan,Certified Cashier and Certified in Value and Ethics

Contact this candidate