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Customer Service Insurance

Location:
Chicago, IL, 60440
Salary:
negotiable
Posted:
April 04, 2012

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Resume:

Janet E. Walker, BPS, HIA, AIC, Paralegal

*** ********* *****, ***********, ** 60440

Tel#630-***-****

***************@*******.***

Objective

To secure a position in an industry that utilizes my expertise in claims management, risk management, medical terminology, legal, insurance, customer service, workers compensation and building strong client relationships.

EDUCATION

Bachelor of Professional Studies: Risk Management in Insurance and Financial Services

Roosevelt University, Schaumburg, IL

Associate in Claims (AIC) – American Institute for CPCU-Insurance Institute of America

ABA-approved Paralegal Studies Program Paralegal Certificate, Roosevelt University, Chicago IL (August 18, 2011)

Illinois Paralegal Association, New Lenox, IL-Attended Spring Conference-May 12, 2011, received CLE credit.

PROFESSIONAL EXPERIENCE

Consultant-JPMC-Paralegal duties, Chicago, IL 60606-Kelly Temp. Services, 1/2012-3/2012-Contract

Remediation project, conduct legal research, review tax documents, negotiation, interact with U.S clients as well as international regarding governance, risk management and compliance.

Volunteer Paralegal at the Lawyers’ Committee for Better Housing, Chicago, IL 2011-December 2011

Chicago Landlord/tenant law, Illinois Civil Procedure, legal research, legal writing, client services, and interviewing. General paralegal tasks include drafting pleadings, motions, affidavits, correspondence with clients and opposing counsel; filing motions and appearances at the Daley Center in Chicago and a host of other legal venues.

ARAMARK GLOBAL RISK MANAGEMENT Downers Grove, IL • 2007-October 2010

WORKER’S COMPENSATION INJURY COORDINATOR

Entrusted to monitor and manage inventory of up to 182 claims, valued at nearly $359K.

Expertly managed key legal matters, including recoupment of monies through subrogation, and monitored recovery from 3rd-part liens and other responsible parties. Liaison with Associate General Counsel & TPA

Averaged cost reductions of $45K/month by preventing lost time and avoiding Temporary Total Disability benefits. Additionally, prevented Employer costs ($5K-$10K/month) by notifying 3rd-party administrators of denied claims. Requested surveillance on suspected fraudulent claims.

Contributed to a reduction in the severity/frequency of accidents and costs, while raising understanding of risk management across lines of business, by fostering relationships and delivering training in proper completion of paperwork. Conducts audits for adherence of S.A.P. (standard account procedures) & end of month reports.

THE HARTFORD Aurora, IL • 2004-2006

CLAIM REPRESENTATIVE

Passed 3 examinations – General Liability, Worker’s Compensation, and Claims Processing - in pursuit of Associate in Claims (AIC) designation.

Received positive feedback from customers for providing excellent customer service, as well as for strong knowledge of claims issues. Referred Errors & Omissions & alleged Discrimination claims to Legal Dept.

Served as a member of company’s Diversity and Inclusion team and an affiliated Toastmaster organization.

CONSECO INSURANCE GROUP (formerly American Travellers) Chicago, IL • 1992-2004

NURSING HOME CLAIMS EXAMINER (9 years)

HOME HEALTH CLAIMS EXAMINER (2 years)

MEDICARE SUPPLEMENT EXAMINER & DATA ENTRY SPECIALIST (2 years)

Advanced knowledge and capabilities through self-study – received HIA (Health Insurance Associate) designation. Reviewed contracts regarding Home Health & Nursing Home claims for a 50 state jurisdiction

CERTIFICATIONS

Substitute Teacher Certificate (IL)

Certificate of Completion: HIPAA General Awareness

Certificate, Long Term Care Insurance Education Program

HIAA (Health Insurance Associate of America)

TECHNICAL SKILLS

Word, Power Point, Excel, Outlook • RIMS, Lexis-Nexis, Westlaw,• ADP HRMS (v. 2.0) • PeopleSoft, Case Map, Text Map, Concordance, Summation & Legal Server



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