Insurance Claims Accounts Payable
Resume:
SABRINA GUTIERREZ
SAN ANTONIO, TX 78216
*********@*****.***
OBJECTIVE
Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Friendly insurance professional experienced in investigation and processing insurance claims. Hardworking and communicative individual excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly indenting fraudulent claims. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. EXPERIENCE
Allcat Insurance Services (USAA vendor)
Licience Insurance Claims Specialist (PD-Property Damage) 01/2023-05/2023
Providing claims service to members regarding the initial contact on all property First Notice of Loss
(FNOL) claims
Respond to status inquiries from various parties, document reported losses, providing appropriate expectations, provide proactive communications, advice, and empathy to members.
Abiding by strict office security protocols, dealing with military personal members information.
Interacting with military affiliates in a high command and their dependents in a professional, respectful manner.
Providing excellent customers service and ensuring they are properly addressed and treated with utmost respect while meeting business needs.
2
OPTUM SVC (WELLMED Business Accounting Office)
Accounts payable Specialist
03/2022 – 09/2022
Invoice processing and payment disbursements.
Working closely with Treasury and controller in ensuring strict controls on processes and close compliance to all company policies on handling expenses and payments.
Monitoring AP mailboxes daily and process through Concur Software
Monitoring and sending vendor invoices for internal approval.
Reviewing vendor statements monthly for accuracy and timely payments
Monthly reconciliation of Visa Credit Card statements
Escalating concerns to AP supervisor and propose alternatives for processes. Texas Anesthesia / Envision Healthcare
Medical Billing Team Lea
04/2011- 07/2021
Ensuring each patient's medical information is accurate and up to date for claims processing.
Preparing bills and invoices and document amounts due to medical procedures and services.
Running reports to ensure physicians cases were accurately processed through insurance claims in order for payroll. Therefore, accurately in a fast pace manner billing in order to meet company deadlines.
Requesting medical records from hospital facilities for missing cases on doctors reports.
Communicating with Physicians about any discrepancies in compensation reports. JP MORGAN CHASE BANK
Customer Service Rep. for Credit Card dept.
02/2010 – 03/2011
Communicating with customers in a metrics-driven environment, at the same time navigating multiple systems while staying engaged with customers.
Take ownership of each customer interaction while treating them with respect and responding with empathy.
3
Document customer account activities throughly and concisely.
Approach problem logically and with good judgment to ensure appropriate customer outcomes.
Make appreciate decisions quickly and effectively o behalf of our customers.
Effectively prioritize work to ensure efficiency.
Abide by all applicable regulatory and department practices and procedures.
Have the ability to work both independently and in a team environment .
Demonstrate personal excellence including punctuality, integrity, and accountability .
Think critically and exercise independent judgment.
Work in an environment that requires 100% phone-bases customer interaction. EDUCATION
Edu2go - Medical Term. I & II
04/2019
St. Phillips /college at San Antonio- some college credits obtained. 01/2012-not completed.
Frank Tajeda Academy / San Antonio -GED
2011
CERTIFICATIONS
TDI Texas Department of Insurance – License Adjuster (All lines of SVC.) License # 2965904
Effective: 02/02/2023
Expires: 04/01/2025
SKILLS
Microsoft Excel Spreadsheets / Word / PowerPoint / Outlook
Typing -70 WPM / 10 key by touch
Eligibility Determination- Insurance coverage verification
Insurance knowledge (AUTO/HEALTH)
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