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Claims Processor Customer Service for call center

Location:
Sun City West, AZ
Posted:
February 07, 2023

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Resume:

KIMBERLY DURAN

***** * ***** **, *** City West, AZ 623-***-****

Email · adu67h@r.postjobfree.com

SUMMARY: I am a well-organized self-starter and capable of getting projects done efficiently and effectively in a timely manner that main- tains a high level of professionalism. Also, creative, easy going, re- sponsible team player and have proven effective in a fast-paced envi- ronment. I am confident my years of claims customer service, experi- ence and working in medical review and appeals and grievances de- partments combined with my ability to learn quickly and my high work ethic and willingness to work in a team environment makes me a qual- ified applicant for this position.

Blue Cross Blue Shield of AZ—June 2001 – August 2018 EXPERIENCE

Customer Service, Medical Review/Appeals, claims.

Assisting customers over the phone and in person regarding their in- surance.

Achievements

Started as a Level 1 Benefits Analyst

Within one year was promoted to a Lead position as a Level 3 Benefits Analyst.

-- Was selected to implement new computer program that would benefit all users at Blue Cross Blue Shield of Arizona.

--Great Customer service in a high call volume call center for 15 years

--High work ethics

--Proficient in various Computer Programs

--Claims processor

I was often selected by management to pilot any new computer pro- grams and changes to procedures that identify possible barriers. I created job aids for the training books as well as taught employees’ new programs.

Glencroft Retirement Community—April 2000—June 2000 EXPERIENCE

Perform a full range of duties involving general accounting and pro- cessing work relative to keeping accounts payable transactions. Receives all company invoices

Works with department heads in getting invoices approved and then processing them.

Writes all checks for the company.

Effective in establishing and maintaining rapport with staff, residents, outside vendors and clients.

Files Correspondences/invoices.

Achievements

Developed a good rapport with my peers as well as upper manage- ment. I learned the company’s own computer accounting program. I worked independently as well as a team player.

EDUCATION

Glendale Community College Business courses Estrella Mountain Community College Courses in Supervision Management



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