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Authorization Specialist Customer Service

Location:
Edison, NJ
Posted:
April 21, 2023

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Resume:

AS

ALICIA SANCHEZ

adwn89@r.postjobfree.com 732-***-**** HIGHLAND PARK, NJ 08904

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Conflict Resolution

Customer Service

Supervision & Leadership

Microsoft Office

Authorizations Knowledge

microsoft teams

BUGS

Zendesk software

Good Work Ethic

Fluent in Spanish

Xactimate

Fidelity National Home Warranty

Henderson, NV

Authorization Specialist Level 3

03/2022 - 02/2023

Take ownership of an assigned caseload from the investigation of the claim through resolution.

Identify issues, analyze claim and work order facts, gather,review, research and document pertinent information.

Make decisions and authorize work orders up to a set level. Take reports from technicians and homeowners.

Answer incoming calls, emails and voicemails from customers, contractors and escalated calls in a timely manner and according to guidelines. Provide homeowners with all relevant information pertaining to contract, claim or work order.

Obtain any necessary documentation from the customer and/or technician. Offer and explain terms and conditions of claim options,denial, cash out, replacement, reimbursement, outside reimbursement and process payment requests.

Provide assistance with inbound call volume as needed. ServiceMaster Professional Edison, NJ

Office Manager

10/2005 - 10/2016

Estimated new losses in water, sewage, mold and fire. Met with customer and insurance adjustor to insure scope of work and inputed data into Xactimate software.

Worked closely with insurance programs to keep up with insurance guidelines.

Organized daily jobs, customer and crews, along with appointments and meetings for project managers.

Responsible for payroll hours to field technicians and office employees. Created estimates for insurance and customers via Xactimate software, implemented insurance guidelines and transmitted electronically all data and claims.

Provided excellent customer service during difficult time for homeowners Summary

Skills

Experience

and handled all incoming calls from insurance agents and adjustors. Hired and trained all new technicians and office staff Everett Community College Everett, WA

Medical Coding

05/2011

Kean University Union, NJ

Education and Training



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