Nursing Assistant Customer Service

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HELEN MBAEKWE

Insurance Claims Adjuster

Address Katy, TX, 77494

Phone 714-***-****

E-mail adsm6e@r.postjobfree.com

Organized, dependable-oriented Claims Adjuster bringing hands-on law enforcement experience and exceptional leadership and communication skills with a touch of some health care experiences. Willingness to take on added responsibilities to meet team goals. Skills

Recording vital signs

Conducting intakes

Companionship and emotional support

Automobile claims specialist

Insurance policy coverage knowledge

Highly motivated

Personal, casualty and property loss

Work History

Jun 2021 -

Current

Certified Nursing Assistant

VibraLife Of Katy, Katy, TX

• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.

• Obtained client medical history, medication information, symptoms and allergies.

• Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.

• Cared for residents in assisted living facility and delivered high-quality support to meet needs.

• Checked patient vitals such as temperature, blood pressure and blood sugar levels.

• Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.

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• Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.

• Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease, and muscular dystrophy.

• Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs. Jan 2019 -

Jun 2020

Insurance Claims Adjuster

AARP, Houston, TX

• Examined claims forms and other records to determine insurance coverage.

• Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.

• Followed up with insured individuals regarding premium and deductibles payments.

• Synthesized data into comprehensive quarterly written reports for management.

• Verified insurance claims and determined fair amount for settlement.

• Answered customer questions regarding deductibles.

• Reported to management on customer problems, field conditions, safety issues and policy problems.

• Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.

Feb 2018 -

Jan 2019

Sep 2016 -

Jan 2018

Claims Adjuster

InsurTech, California City, CA

• Administer workers’ compensation benefits to injured workers.

• Manage established claims on an ongoing basis.

• Ensure regulatory compliance and proper handling of claims.

• Conduct investigations for coverage compensability, establish and maintain appropriate reserves, and make appropriate recommendations on claims.

• Demonstrate a high level of proficiency in claim file management, work effectiveness, interpersonal skills, and customer service. Customer Service - Sales

CVS, Anaheim, CA

• I was responsible for the overall coordination and processing of new patient medication orders and reorders, which includes verifying and revivifying benefits.

• Help our patients with translating and entering in new or refill prescriptions into the pharmacy information system, communicating and collecting copay amounts, obtaining authorizations, and working with insurance companies, healthcare providers and/or internal teams to screen, identify, resolve, and defer orders that have accounts receivable or clinical issues.

• I provided superb communication skills needed in order to effectively interact with insurance companies, patients, and internal partners to ensure the

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processing of specialty medications in a timely manner and to ensure that financial and clinical expectations are being met prior to fulfillment. Education

Jun 2019 -

May 2020

Oct 2020 -

Jan 2021

GED

State of Texas Certificate of High School. - Houston, TX Certified Nursing Assistant

Texas Health School - Houston, TX

Oct 2006 -

Jan 2013

B.Sc. Accounting – (Foreign Degree)

RSUST – Port Harcourt.

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