Karol Reyes

**** ******** **. #**** ******, TX **228

469-***-****

adssca@r.postjobfree.com

Bilingual: English/Spanish

OBJECTIVE

To obtain a position in a challenging and energetic environment that will utilize my 10+ years of customer

service experience and excellent communication skills.

EDUCATION

Remington College – Dallas, TX 08/2015

Associates of Applied Science for Business Administration

SKILLS

●Microsoft Office Word 2010 Certified Specialist

● Bilingual: English/Spanish

●Honest, Reliable, Responsible

●Team Player

●Exercise independent judgment

●Strong communication skills

●Strong organizational skills

WORK EXPERIENCE

●CPR Insurance

Claims Adjuster Assistant 08/2017- 03/2020

High volume incoming and outgoing calls, confirmed insured or claimants’ concerns and demographics in regards vehicle’s damages and location. Scheduled inspection date with inspector and owner of vehicle.

Followed up with Inspectors in regards schedule visits and photos obtained of the damages.

Updated spreadsheet and invoices.

●Care Options for Kids

Processing Coordinator 05/2017-07/2017

Daily referral process, confirm patient’s eligibility, confirm with the patients’ parent concerns and demographics. Prepared documentation for MD to review and sign and send off to payer source for authorization. Daily clinical follow up calls and parental follow ups to confirm documentations pending signature or parental action required.

●Sage Care Therapy

Plan Of Care Coordinator 05/2015 02/2017

Prepared clinical documentation that required clinical review from both pediatrician and health

insurance. Scheduled visits for patients accordingly to authorizations received from payer source. Would

follow up with clinics regarding pending documentation that required MD signature. Daily follow up

calls with health insurance that were pending authorization.

●QT Kitchen

Commissary 08/2014- 04/2015

Job varied depending on assigned position for the shift.

Production line: Were to be detail oriented, and able to maintain a consistent fast pace while making fresh food for QT stores on the daily basis. Communication was a must when running low on items and had to let a recharge know so production wouldn't stop.

Recharge: Were to to keep up with the need of the food items required by the production line by bringing in pallets with an electric pallet jack and or asking assistance from a certified forklift driver with pallets. A recharge would make sure each employee working the line had their bins filled with the proper item. Item was to keep running in the conveyor belt into a machine for packaging and labeling.

Catcher: Were to be prepared with pre-made boxes for incoming items and putting the right quantity of the food item per box and label the boxes as well. All while keeping up with making boxes to keep up with incoming production. Once boxes were ready, they were to be placed onto a pallet and wrapped for shipping. Once production goal was met everyone was to wash and sanitize entire room (conveyor belts, bins, machine operated equipment, floors, walls etc).

●Sam's Club

Accounting Associate 04/2011-05/2013

Prepared supporting documentation and posted journal entries to computerized accounting software,

maintained accounts in computerized data base and compiled reports, computed and recorded

charges, refunds, and adjustments Prepared vouchers, invoices, account statements, reports, and

other documents, reconciled accounts receivable and general ledger accounts, resolved customer

billing discrepancies and communicated with managers, supervisors.

●Sam’s Club

Cashier 12/2010- 04/2011

Greeted customers in a friendly and courteously manner while processing transactions Handled

customer questions on products and services.

●RPC Company Addison, TX 07/2012 – 08/2012

Verifier (HMS)

Responsible for the timely verification of medical insurance benefits, called private insurance

companies, Medicare, and Medicaid to obtain benefit information, determined insurance

compatibility with health care provider programs, updated and refiled claims, coordinated with

patients regarding their insurance benefits and medical providers programs, determined if an

insurance benefit plan considers selected products appropriate based on patient need

●U.S. Census Dallas, TX

04/2010 – 07/2010

Enumerator

Conducted research on behalf of the U.S. Census Bureau, reviewed the assigned field and prepared an

efficient route, traveled to designated households and conducted interviews with residents,

responsible for verifying household addresses and ensuring that all maps and address lists are correct,

corrected any discrepancies in the existing census data, collected household and demographic

information, appropriately documented and report the results of the finding, as well as documentation

of hours, miles and expenses encountered

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