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Customer Service Claims Examiner

Location:
Honolulu, HI, 96822
Salary:
70,000
Posted:
September 28, 2023

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Resume:

**** ****** *** *** ********, HI ***** 808-***-**** adz06d@r.postjobfree.com

Christine Wright

SUMMARY

• Workers’ Compensation Adjuster with 21 years of experience handling up to 31 clients at a time and a caseload of 200+ claims

• Possesses a B.A. in Communication and Journalism and expertise in claim-based programing, along with paperless systems

• Looking to expand career options, and knowledge as a senior examiner SOFTWARE

• Expert in Juris, and ACS/SIR paperless system, multiple claims handling programs including but not limited to JMCO, and Navrisk

• Handled cashier computer programs, training computer programs, and accounting computer programs

• Expert in Microsoft Office, with a focus on Excel

• Web and tech savvy, require little to no training EXPERIENCE

07/2015 - 11/2022

AIMS

• Claims Examiner III - Senior Adjuster

• Handled local accounts, Caseload up to 175 claims, handled up to 5 accounts

• Dealing with client interaction, claimant, medical provider interaction inclusive but not limited to nurse case management

• Specializing in claims reserves, and medical research

• Focus on claims litigation, settlement, and adjuster/attorney interaction 08/2006 – 07/2015

• SedgwickCMS

• Claims Examiner

• Handled local and national accounts fortune five hundred employers inclusive but not limited to PBC, Coca Cola, Sears, Federal Express, Starwood Hotels, Home Depot, Monsanto, and RotoRooter, along with local accounts such as Country of Maui

• Case load of up to 200+ claims, and up to 31 clients

• Excellent client interaction, and customer service

• Trained new employees on Juris, was involved in hiring, and sales presentations inclusive but not limited to County of Maui, and American Savings Bank. And policy contract renewals for such clients as Pitney Bowes EDUCATION

05/1999 B.A. Mass Communication, and Print Media, Chaminade University Work history preceding 2006 and references available upon request.



Contact this candidate