Data Entry Claims Adjuster

Charles Harris

214-***-**** (C)

**************@*******.***

Professional Profile

Highly motivated and energetic Administrative Claims Assistant/Claims Rep, Claims Examiner and Claims Adjuster with excellent skills and diverse work experience.

· Highly productive

· Interoffice and Interpersonal communicational skills.

· Customer Service

· Data Entry

· Accounts Payables

· Windows 10

· NT

· Excel

· Education and on the job experience ranging from 30 years.

·Claims Adjuster Glass Claims

Homeowner of America Insurance Company /Porch Group Mar 2015- Mar 2016 (Temp)

Claims Specialist Feb 2017- Nov 2022

· Sets up and enter new claims into claims management system. (PTS/IMAGE RIGHT)

· Inputs and reviews notes/diaries in claims management system as instructed.

· Processes payments.

· Processes mail; handles filing, faxing and photocopying.

· Reviews, prepares, creates, and/or sends letters, reports, and forms.

· Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.

· Other activities/projects as assigned include the preparation and distribution of computer reports.

· Supports the organization's quality program(s).

· Documenting an XCEL dialogue of Stop Pays, Canceled, Change of Mortgage Clause, and Lost Checks distributed for payment. Issue Payments for Glass Claims, Set Reserves & Release payment for damages.

· COVID became REMOTE since March 2020

Sedgwick Claims Sept 2007-Jan 2015

FMLA Claims Assistant

· Hired as regular employee from Temp status.

· Provided support to the claims staff

· Performed other office tasks depending on the client program.

· Set up and entered new claims into claims management system,

· Input and review notes/diaries in claims management system as instructed.

Pacificare/Secure Horizons’ (Contract/Temp) May 2003 – Mar 2007

CMS Revenue Analyst/Administrative Assistant

· Reviewed medical forms

· Obtained and verified information to correct procedural code for Medicaid patients.

· Medical Codes/Electronic Health Records/UB-04 Forms

Verizon Directories Dec 2002 – Apr 2004

Administrative Asst/Data Entry/Team Leader

· Administrative Asst/Book Close Advisor for Verizon Yellow Page Phone Directory.

· Updated information for customers,

· Updated addresses, updates and phone services.

· Responsible for management of (8) employees.

· Managed system until department close.

Healthsource/Provident Insurance\CIGNA Aug 1991 – Dec 1995

Rapid Data Entry/Claims Adjuster

· Researched, analyzed, calculated and approved claims.

· Maintained office standards for production and quality.

*High School Diploma R.L. Paschal High School Fort Worth TX Graduated 1987

*Texas Department of Insurance Adjuster-All Lines

Contact this candidate