Service Representative Claims Examiner
Resume:
THEREON K. KERR-FRAZIER
Dover, DE *****
**************@*****.***
Summary:
Highly motivated professional possesses outstanding organizational, time management, and communication skills. Self-starter with exceptional, customer service and excellent interpersonal competence. Proficient in MS Office Suite.
Professional Experience:
Administrative Specialist – (temp) DE Lottery, State of Delaware, Dover, DE 07/21- Present
Manage administrative related aspects of the office, answer multi line phones, assist customers
Process lottery claims, preparing reports, correspondence, conducting research
Management Analyst II- (temp) – DHSS-DMS State of Delaware, New Castel, DE 07/20-06/21
Review and approve Request for proposals, contracts, amendments and waivers
Observes work processes and gathers data relating to operational, managerial practices and procedures for use in evaluating services and/or determining compliance to goals and objectives
Executive Assistant - (temp) - Delaware State University, Dover, DE 01/18-03/20
Demonstrates professionalism and acts as an initial customer service representative
Performs various administrative tasks including but not limited to, organize and schedule meetings calendar management, screening and directing incoming calls, etc.
Ensure and maintain confidentiality of all communications and documentation
Front Desk/Loading Dock Patrols - Securitas Security Services, Inc. Jersey City, NJ 04/16-07/17
Greet, direct or escort contractors, vendors and clients to specific destinations
Guard, patrol or monitor premises to prevent theft, violence or infractions of rules
Record facts to prepare reports that document incidents, irregularities and activities
Substitute Teacher (Pre-K-12) - Source4Teachers, Cherry Hill, NJ 01/13-02/16
Provide meaningful instruction to students in assigned classrooms while the regular teacher is absent
PIP Claims Examiner - Insurance Overload Staffing Services - Bala Cynwyd, PA 02/12-07/15
Investigate, analyze and determine the extent of medical treatment for claims for multi-state territory
Correspond with and interview medical providers, witnesses and claimants to compile information
Negotiate and settle claims with adverse carriers, third party administrators and attorneys
PIP Claim Processor - State Farm Insurance Company, Parsippany, NJ 03/99-10/10
Expedite assigned “No Fault” claims, primarily for the NJ/NY areas, from inception to conclusion
Recognize claim situations beyond the scope of duties and take appropriate action
Determine payment/denial status for medical services in accordance with guidelines and procedures
EDUCATION
Bachelor of Science - Marketing, Kean University, Union, NJ
Associate of Science - Business Administration, Essex County College, Newark, NJ
Delaware – Security Office Registration Act (S.O.R.A) Certification
Paraeducator Permit – State of Delaware
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