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Claims Adjuster

Location:
Philadelphia, PA
Posted:
December 08, 2020

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Resume:

Erik J. Schultz

Philadelphia, PA ***** 215-***-**** adihan@r.postjobfree.com

PROFESSIONAL EXPERIENCE

AON, Fort Washington, PA (contract with BC Forward) 2/2020 - 10/2020

Claims Analyst I

Analyzed and assessed travel insurance claims.

High volume due to COVID-19 cancellations.

Topped daily processing rankings on a consistent basis.

GOPUFF, Philadelphia, PA 8/2018 - 11/2019

Customer Service – Email Team

Assisted customers with complaints and inquiries.

Diagnosed and resolved technology and hardware problems, including refreshing operating systems and configuring backup servers.

PM receptionist: Greeted guests to the building, maintained first floor, and maintained information displays.

PEARSON VUE, Bala Cynwyd, PA 2/2008 - 12/2017

Associate Product Implementation Analyst

Performed quality and functionality testing on computerized tests for professional insurance, building contractor, and real estate licensing.

Developed a system to maintain the functioning and maintenance of test center software in a local Quality Control environment.

Performed final check of tests before release to clients.

Audited published tests to ensure proper delivery dates.

Created new buttons for user interface of test delivery software.

PRIDESTAFF, Blue Bell, PA 2007 - 2/2008

Temporary Staff

Short-term projects.

Converted legacy paper-and-pencil tests for AT&T into computer-based tests for Pearson VUE.

Monitored union dues for United Food & Commercial Workers and performed data entry for US Maintenance.

AMERICAN INDEPENDENT INSURANCE COMPANY, Conshohocken, PA 2003 - 2007

Claims Investigative Unit Representative

Assessed and settled Property Damage claims.

Established contact with claimants and/or their attorneys.

Scheduled auto inspections using Microsoft Outlook calendar and ISI Claims System.

Ensured compliance with insurance laws of MD, DC, and VA.

Medical Claims Representative

Evaluated and adjudicated Medical Payment and Personal Injury Protection (PIP) claims.

Conducted investigations regarding patient residency in cross-state fraud cases.

Analyzed medical billing, including ICD-9 and CPT codes, ensuring treatment was consistent with diagnosis and in compliance with NCCI.

Obtained Florida Property and Casualty Adjuster’s License.

First Reports Unit Coordinator

Responsible for inputting, analyzing and assigning insurance claims, responding to legal notices, and training of FRU clerks. Scanned and electronically filed documents.

EDUCATION

BA in Asian Studies from Temple University, Philadelphia, PA



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