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Auto Parts Claims Adjuster

Location:
Miami, FL
Posted:
June 26, 2023

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Resume:

John Julian Cornwell

***** ** **** ***. ***** Miami, Florida 33009 •

786-***-**** • adxxau@r.postjobfree.com

OBJECTIVE

Seeking for a mid-career transition to a management position where my knowledge and training can be of use in creating positive outcomes and experiences

SKILLS

Office Administration

• HIPAA & OSHA Trained

• Microsoft Office and Medisoft

• Telephone

Etiquette/Techniques

• Patient Scheduling

• Keyboarding/ Word Processing

• Medical Patient Charting

• Dental Patient Charting

• Bookkeeping & Payroll

• Medical Terminology

• Medical Ethics & Law

• Dental Office Administration

Insurance Billing/Coding

• Electronic Claims Forms

• ICD/CPT Coding

• Insurance Processing

• Medicaid & Medicare

• TRICARE &

CHAMPVA

• HMO’s & PPO’s

• Worker’s Compensation

• Disability Insurance

• Clinical

• CPR & First Aid

Certified

Other

• Ability to multi-task

• Excellent time management

• Strong customer service

• Great communication skills

• Exceptional phone skills

• Highly organized

• Quick learner

• Adaptable

• Microsoft Word, Excel,

PowerPoint

EDUCATION

• Stratford University• Master of Science Degree in Healthcare Administration• VA 2017

• Everest College• Medical Administrative Assistant Diploma • VA 2014

• Thomas Nelson Community College• Associates Degree in Business Administration• VA 2011

• Molloy College• Bachelor’s Degree in Music and English • NY 1991 CAREER HISTORY

• APCO HOLDINGS • Remote position December 25, 2022 – Present As a Claims Adjuster I am responsible for creating claims being initiated by repair facilities on behalf of contract owners whose vehicles require repair and contingent upon coverage specifically defined by each contract. I generate an authorization number and explain to the repair facility which items are covered, and which ones are not. As a Claims Adjuster I adjust the requested asking prices for labor and parts to correspond with correct amounts by using All Data and ProDemand as an area reference. Using my customer service experience provide a friendly dialogue and resolve claims in a timely manner.

• Insight Global • Remote position May 31st – December 25, 2022 6-month contract to hire position with Apco Holdings EasyCare Extended Warranty. I initiate Customer warranty claims based upon the criteria set within each contract. My responsibility is to facilitate the claim process with each repair facility. I represent the corporate culture of Apco Holdings as the friendliest company that makes claims an easy and fast process.

• O’Reilly Auto Parts • Davie, Florida May 13, 2019 – May 30, 2022 Responsible for selling auto parts to professional and non-professional customers. Retrieve information relevant to auto sales to provide our clients with the correct merchandise for their needs. Aspire to a high level of customer satisfaction by practicing the O’Reilly corporate philosophy of being the friendliest team to create loyal customers. Kept an inventory list to restock the shelves and provide accuracy in locating parts.

• Alliance Insurance Group • Miami March 2017 - Present Sell insurance products including Final Expense and Mortgage Protection insurance use a leads system to contact potential prospects; set appointments and make presentations for potential sales

• Northern Neurology Specialties ● Syosset, New York November 2015- December 2019 Correct and resubmit claims to insurance company for reimbursement; resolve Back-end office claims that were prevented from being processed due to billing error Used the ICD- 10 and CPT code books to look up diagnostic and procedural codes Navigated the Athena Net medical software for billing and claims submission.

● Service Worker A • Colonial Williamsburg • Williamsburg, Virginia May 1994 - October 2015 Maintain, preserve and protect the assets of the Colonial Williamsburg Foundation by responding to and resolving guest trouble calls in a timely manner; follow safety procedures obtained through yearly training including OSHA rules, driver safety, fire safety, hand tool safety, ladder and man lift safety procedures INTERESTS AND HOBBIES

• Speaks beginning Mandarin Chinese

• Avid violoncellist

• Learning and practicing new methods for self-improvement

• Walking to fulfill fitness goals

• Appreciating and celebrating diversity

• Breathing and Meditation techniques



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