Claims Assistant Resume PLANO, TX - Hire IT People

EDUCATION Associates of Applied Science Degree,
Bachelor of Science Degree, 2010.

PROFESSIONAL DEVELOPMENT

Six years administrative background in reporting to CEOs and top executives in corporate and small office setting.
Two years of successful experience working in direct and diverse retail sales and services.
One year of direct on hands experience in a call center environment.
(7) years of customer service experience.
Basic medical knowledge of medical terminology, ICD-9/ICD-10 Codes, and medical record filing.
Thorough preparation in specialized areas of law for tort, probate, bankruptcy, constitutional, business, civil and criminal, real estate, contract, medical malpractice, social security disability, and alternative dispute resolution.

OPERATING SYSTEMS & TECHNICAL SKILLS

Strong expertise in MS Office 2003, 2007, and 2010, Windows Vista, MS Office XP, Open Office, Lexis-Nexus, Find Law, Lexis-One, Westlaw, Smart Draw, Intuit (website builder), Safari and Mozilla Firefox/IE search engines, Quickbooks, Sharepoint, and Adobe software.
In depth knowledge of insurance claims systems, OCAS, RCS, CVO, REF, and Xactimate.
Familiar with Photoshop, Instagram, graphic design applications (InDesign, Infinite Design, Illustrator, and Dreamweaver.)
Basic expertise in Medisoft and Lytec medical billing and appointment scheduling software.

PROFESSIONAL EXPERIENCE

5/11-4/12 ConfidentialClaims Assistant

Provided clerical and administrative assistance to corporate executives.
Investigated and resolved any errors or inconsistencies in data sources.
Conducted research, review reports, investigated details, and estimated damages.
Create and edit employee profiles including routine updates to company directory and scheduling.
Efficiently assigned and reassigned claim files to inside desk adusters and field adjusters.
Handled complex catastrophic personal and commercial property claims requiring outside field investigations and/or inspections.
Promptly updated claims files in reference to reported information provided by the insured and or agent of the insured.
Maintained the personal and commercial line licensing compliance filing system for staff and contract employee state insurance licensure.
Provided in office training for insurance claim system applications.
Created and edited instructional materials on how to operate insurance claim systems under the mainframe program and licensing compliance training modules.
Responsible for sorting and distributing incoming mail/packages and order office supplies.
•Responsibly operated company machinery including the switchboard, fax machine, scanner, copier, and 1/2in and 1in label maker.

05/10-5/11 Confidential, PLANO, TXCustomer Sales Associate

Provided prompt, courteous customer service educating and recommending company product for professional and personal home/business projects.
Managed various departments in lieu of managers absence.
Processed orders by completing sales, operated cash register during point of sale protocols, and initiated follow up procedures with vendors, conduct sales of promotional products through face to face interactions and cold calling techniques.
Skilled in areas of order processing, inventory control, price coordinating and auditing, data entry, sales, order management, cash management, filing, training, and department management.

11/09-12/09 Confidential, PLANO, TXCashier

Handled and operated computerized information systems in financial applications and high volume sales.
Developed a reputation for prompt and efficient consumer services with a high level of accuracy.

01/05-10/09 Confidential, PLANO, TXDOCUMENT SPECIALIST

Coordinated and prepared the conversion of typed and handwritten text on paper-based & electronic documents (e.g. scanned image of a document) into electronic information.
Responsible for the production and maintenance of highly confidential documents for small, mid-sized, and corporate businesses/firms.
Monitored the consistency and accuracy of each document according to set style guidelines and client requirements.
Maintained and updated document release and work in progress information to owner on internal database.

9/04- 1/05 1800 Confidential, ALAMOGORDO, NMCustomer Service Representative

Corresponded with customers and corporate general and professional consumers on inbound and outbound communications in a call center atmosphere.
Monitored fraudulent orders with billing discrepancies and evaluated quality assurance communications.