CINDY ALSTON

**** ** **** *****, *****

Email ·adtxx1@r.postjobfree.com

PROFESSIONAL OBJECTIVE

Highly Qualified and dependable Administrative Professional aspiring to evolve and grow in a challenging environment. Excellent written and verbal skills.

SUMMARY OF SKILLS

Microsoft word, Outlook, Adobe Acrobat, Messenger, YCEA, 10 Key, email, data entry, excellent customer service and telephone skills.

EXPERIENCE

APRIL 13, 2022 TO CURRENT

PRG INSURANCE

CLAIMS ASSISTANT FOR CALIFORNIA CLAIMS

DUTIES INCLUDE SUPPORTING THE ADJUSTERS COPYING FILES, AND DATA ENTRY DOING LETTERS AND NEW CLAIMS, CHECKING BENEFITS AND WORK STATUS ON REPORTS.

NOV 2020 TO CURRENT

SOCIAL SECURITY BENEFITS

MARCH 28, 2007- JUNE 2019

MEDICAL ONLY ADJUSTER-YORK RISK SERVICES

Managing a high volume of Injured workers who have filed a worker’s comp claim. In managing the claim, I begin with a first report of injury and I contact the Injured worker, the employer, and the provider who is overseeing the medical treatment. I then determine compensability. Once the claim is approved I then monitor the process of the treatment and manage the claim until the provider releases the injured worker back to work. I approve all bills to the providers, I enter reserves into the claim file for payments to process. I determine if a Peer review is necessary by reviewing the MRI’s as they come in. I am also responsible for the subrogation end of the file and attempt to collect on accidents that are caused by non-employees. I have a very big case load so must be able to multi task and work at a constant level.

APRIL 2002 – JANUARY 2007

CALL CENTER REP/PROMOTED TO APPEALS COORDINATOR

As the call center representative my job duties were to take calls from individuals who had insurance thru Humana who needed information on finding a Mental Health Provider. I worked with both the insured and the providers. I moved up to Appeals Coordinator where I would go thru the files and send them to the provider and he would then determine if the appeal could be overturned. I would get his response and let the provider who filed the appeal know the decision.

EDUCATION

MAY 1973

SAM RAYBURN HIGH SCHOOL

Graduated

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