Objective
To obtain employment as a claims adjuster with such and such company

Professional Summary
Minimum 14 years of claims processing experience and knowledge in DRG, modifiers, per diem and other forms of reimbursement required as well as extensive 10 key experience

Experience
Claims Examiner II
Confidential, Charleston West Virginia 09-2005 to 03-2011

• Reviewed insurance policies to determine coverage
• Prepared insurance claim forms and reviewed them for completeness
• Provided customer service, such as limited instructions on proceeding with claims
• Organized and worked with detailed office or warehouse records, using computers to enter, access, search and retrieve data
• Posted and attached information to claim file
• Transmitted claims for payment or further investigation
• Contacted insured or other involved persons to obtain missing information
• Calculated amount of claim
• Experienced with AS/400 and MMIS Software

Data Entry Operator
Confidential, 10-1994 to 03-2004

• Stored completed documents in appropriate locations
• Located and corrected data entry errors, and report them to supervisors
• Maintained logs of activities and completed work
• Selected materials needed to complete work assignments

Education
National Career Readiness Certificate - Silver Level

Worker's Compensation Certificate