Claims Adjuster Receivable Specialist

PROFESSIONAL PROFILE

Results-oriented and resourceful Independent Adjuster having immense passion in evaluating losses and property damages, examining estimates, and determining policy coverages. Streamlines claims designated and diligently communicates with Insured, Agents, Vendors, and other third parties while handling multiple assignments. Currently create estimates, and implement positive changes to achieve sustainability and growth in challenging Adjusting conditions.

West Palm Beach, FL

WORK EXPERIENCES

Cash Applications Specialist - Remote 2018 - Present Trubridge Mobile, AL

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Receivable management services.

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accurate submission of insurance claims.

• Facilitated efficient follow-up and receipting of claims.

• Resolved complex collection issues using good analytical, interpersonal, and communication skills.

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insurance carriers to correct accounts, and balance payments to bank deposits.

• Examined EOB’s, EFT’s, and ERA's.

• Identified overpayments and issued refunds.

• Facilitated teamwork in ensuring projects/goals were completed successfully and timely.

• Reconciled cash, credited cards, and streamlined contractual balances.

• Directed special projects and followed through with detailed project planning and implementation.

• Trained, mentored, and motivated new staff.

• Worked with team on a year-long multi-dimensional A/R cleanup project for a major client, recovering a significant amount of missing funds. Cash Applications Supervisor 2013 - 2018

Jackson Revenue Management Atlanta, GA

• Spearheaded daily operations of the Cash Applications Department.

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application processes. Maintained an accurate accounting of exception reports.

• Interdepartmental point of contact on all issues related to Cash Applications.

• Diligently trained staff on new software.

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contractual guidelines.

• Balanced transactions posted to the billing system daily and monthly, utilizing Microsoft Excel and other financial management software.

• Produced daily accounting reports with total revenue to date.

• Requested and monitored EFT/ERA set up with insurance companies.

• Researched and resolved unapplied payments in suspense accounts.

• Interacted with insurance companies to obtain missing EOBs and information.

• Identified irregularities in payments.

• Assisted cash applications team with all issues to completely resolve. 862-***-****

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LICENSES

• FL #W952581

CORE COMPETENCIES

• Strong Communication Skills

• Great Interpersonal Skills

• Research Skills

• Service Orientation

• Conflict Resolution

• Team Player/Management

• Customer Service

• Claims Handling and

Investigations

• Risk Assessment & Mitigation

• Liability Exposure Evaluation

• Policy Management

• Confidential Records

Management

• Insurance Regulations

• Damage Estimating

• Property Claims

EDUCATION

• Passaic County Community

College - Paterson, NJ

References Available Upon

Request

J E N N I F E R J O H N S O N

seeking a Claims Adjuster position to effectively inspect, facilitate solutions, Led Cash Team, distributed staff assignments, and monitored all cash Applied payments/adjustments based on an explanation of benefits and streamlining claims in a most efficient manner. Adept at leveraging knowledge in Diligently liaised with hospitals and clinics utilizing the company’s Accounts Coordinated with management and the hospital to ensure the timely and Processed bank deposits, performed cash reporting, posted denials from Result-Oriented Claims Adjuster

WORK EXPERIENCES (CONT’D)

• Facilitated weekly team meetings responding to questions and providing company updates.

• Created and implemented cash workflow processes. Senior Cash Applications Specialist Lead 2009 - 2013 Payments MD - Atlanta, GA 2007 to 2013

• Managed the accurate and timely posting of cash, checks, and credit cards, and electronically transferred funds to assigned customer accounts.

• Provided administrative and technical support to the Cash Applications department.

• Accomplished results through clear and concise communication and the combined effort of the team.

• Rendered great assistance in the month-end close process, ensuring timely completion.

• Researched and resolved unidentified or unapplied cash.

• Reconciled customer payment remittances.

• Verified and analyzed client discounts to ensure contract terms were appropriately taken.

• Processed necessary adjustments and refunds.

• Supported company goals and enforcing company policies.

• Communicated and work in a respectful, supportive manner with all teammates. Accounts Receivable Specialist 2007 - 2009

• Made daily calls to insurance companies regarding outstanding and/or missing payments.

• Analyzed transaction information to identify refunds, delinquent accounts, and insufficient payments.

• Prepared and disbursed invoices to customers.

• Resolved issues with delinquent accounts by contacting and working with the customer.

• Recorded contracts in a timely manner.

• Maintained A/R and A/P.

• Recorded journal entries to adjust accruals and deferrals as necessary. References Available Upon Request

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