Customer Service Naperville

**** ***** ***

Joliet, IL *****

779-***-**** cell

Work supervisor # 815-***-****

****************@*****.***

Objective

To utilize my administrative and organizational skills to their fullest potential

Experience

2009- The Hartford Insurance

Central Ops Dept Aurora, IL

Claim Technician

I’m also on the mentoring group, training new hire on worker’s comp task.

I’m currently serve on the Customer Service Council which is the

I have Join one (ERG) Employee Resource Group PWN

Send out State forms for NC, SC and IL

I do C8.1 daily

RTW Calls for Short Term Disability.

Calling and Setting up IME for injury worker,

Filing, Coping all med document, and legal document

Sending out letters to law office, Medical Doctors,

Sending out Assign lost time letters and Med only letters

Fax, Exception /Inactive /workbasket

Assignment mailbox uploading fax in document

Updating Injury worker ssn/dob/PA

Assist CCT with phone calls on Monday as needed

Made mult outbound calls to Providers, Insureds, and Agents when they have Medical bill questions.

Working of excel spreadsheet for logging fee schedule for med bills. (as needed)

I also assist the Claim Administrator with phone calls from providers, lawyers, and insure injury workers. I answer question as need, If I can’t assist I will transfer their call to the claim adjuster.

I also work mult spreadsheets, cleaning up backlog of expense bills.

I’ve assist in training coworkers on, and ECOS task

I’ve also taken on some of my team leader’s role when she is out of the office. Assigning task out to my peers, make executive decision what is a prior to handle as a rush.

I and another peer recently just finish a project by clearing out the file cabinet on the first floor and send mult files to Iron Mountain with the help of mult peers. We worked overtime on the Weekends and thru the weekdays after work hours.

2001–2009 The Hartford Insurance Aurora, IL

Medical Bill Examiner 111

Submitting medical bills for repricing for multiple providers.

Workers comp

Handling Escalation Sheets for multiple States

1999-2001 Travelers Property Casualty Corp Naperville, IL

Customer Service Rep/ Personal Lines Dept

Setting up New Property Losses

Assisting with coverage questions/ handling phone

1995–1998 Travelers Insurance Workers comp Naperville, IL

Claim Analyst

Negotiated with providers on balance due bills

Performed initial 3 point calls on employer’s first report.

Working knowledge of CPT coding and ICD-9 coding

1994-1995 Travelers Insurance Workers comp Naperville, IL

Claim Specialist / workers comp dept

Submitting medical bills for repricing, setting up worker’s comp

Assist in training new processors

Responsible for data input of medical and legal correspondence for six claim representatives

Education

1980–1983 Joliet Central High School Joliet, IL

General Class, English, Math, History etc……

Graduated. Yes 5/27/1983 / Took one class at college of dupage leaning toward getting an associate degree In counseling

Norton 360

21.1.0.18

Tips

I like to challenge myself no matter how hard the task may seem, the more task the more productive I become, difficult task help me become more innovative. I’m very balance in my work, where if I have a time sensitive task, my regular duties will not go slack.

I would also like to further my career by taking on a Business Administration classes.

Contact this candidate