Entry Level Customer Service

Executive Summary

** ***** ********* ** ********** Administration professional. Experience in being a supervisor and Claim Associate. Supporting and assisting other claim representatives with any necessary claims. Practices excellent communication with staff, claimant and client.

Key Offerings

Bachelor of Science in Business Management Monitoring daily clinic operations Supervising and training new hires Six months experience as an Interim Department Administrator Manager Customer Service Public Relations Health Connect Microsoft Office suite Entry Level Coding and Billing Data-Entry Record keeping and reporting 65 WPM

Work Experience

CorVel, Rancho Cucamonga, CA 12/2023-Present

Supervisor-Claims Admin

Supervise the claims assistant in their day-to-day tasks

Support the claims adjuster with the urgent tasks and ensure the set task is completed timely

Maintain the daily task que by prioritizing the task assignment.

Keeping the subpoena in compliance daily and working with the staff for time sensitive matters.

Making sure the performance of the team by ensuring training classes are needed and coaching in the daily performances.

Bimonthly one on one to evaluate merit achievement.

Sedgwick, Long Beach, CA 01/2022-12/2023

Medical Only-Claims Associate

Managed Medical Only claims

Determining workers’ compensation compensability and benefits.

Reviewing and monitoring reserves, documenting required files with the state agency

Discussing claim action with the claimant and client.

Managing and confirming the claim files are documented appropriately and coded.

Support colleague with needed claims

Continue to have a professional client rapport.

Continue to have a professional client rapport.

Kaiser Permanente, Los Angeles, CA 11/2005 -04/2021

Case Coordinator

Manages Workers Compensation claims for injured employees.

Supports 5 Physicians with scheduling appointments and clinic and non-clinic matters

Reviews cases ensure that the Physician is only treating the accepted claims.

Greet patients visiting the clinic and assist with general inquiry

Educates new patients on Workers Compensation policies and benefits.

Provide patients with Workers Compensation status or updates.

Supports Department Administrator with monitoring the day-to-day operations of the clinic.

Touches basis with team members daily, to determine clinic needs.

Worked independently or with team members, resolving both clinic and patient related escalated issues.

Provided cases statuses to Insurance Carriers, Adjusters, and Nurse Case Managers.

Managed multiple work queues as well as all the emergency visits to the West Los Angeles facility.

Processed authorizations for the clinical orders/referrals and appointments in the specialty department.

Entry level billing and coding and Extensive data entry

AT & T Wireless, Cerritos, CA 08/1994 - 04/2005

Administrative Assistant

Supported the District Manager Sales Representative who managed five districts, which included 74 stores.

Assisted the District Sales Representative with meeting their monthly target goal.

Scheduled training for the Communication Specialists and Store Managers.

Visited various retail stores, updating their rate plans, equipment, fliers, and accessories.

Tracked inventory and ordered merchandise.

Planned events for District Sales Manager and retail stores.

Activated new accounts and provided customers with rates and equipment suitable for their needs.

Increased sales by providing excellent service to our customers.

Education

University of Phoenix, La Mirada, CA Bachelors of Science in Business Management

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