Unless you're looking for an insurance provider with top - notch
customer claims resolution, Progressive is one of the best auto insurance companies in the state.
Not exact matches
Despite the downright nastiness that has been lobbed in Amazon's direction for what it
claims to be its fight for its
customers and low prices, Amazon has openly encouraged readers to purchase Hachette titles from other sources until a
resolution can be reached.
Rumors have consistently
claimed that Apple's next generation iPad mini will come with a high
resolution Retina Display, the kind
customers find on the full - fledged iPad.
Writing for Legal IT Professionals, in an article entitled: Web - based Dispute
Resolution Systems Gain Traction as Court Delays and Low Value Disputes Surge, Christy highlights how Alternative and Online Dispute
Resolution techniques are being applied by private companies seeking to compete with court's
claim for «
customers».
Customers say The Hartford provides a good purchase experience and provide excellent
claims -
resolution.
Other
customers have said their experiences were fine, and got fair
resolution and settlement of
claims.
Good insurance companies provide a variety of coverage and service options, great
customer service, and a smooth
claim resolution process, all at an affordable rate.
Provided efficient and courteous service to internal business partners and external
customers concerning investigation and
resolution of
claims.
Seeking
customer focused candidate for role handling collections, verifying benefits, following - up with patients, and working with insurance companies for
claim resolution of patient accounts.
Medical Office Administration Conflict
Resolution.........
Claims / Benefits......... Training.........
Customer Service......... Delivers Results
Medi - Cal / Medicare Billing / Coding
Customer Service Research UB - 92 / CMS 1500 POS Eligibility Problem
Resolution Research Eligibility /
Claims Status
• Bachelor's degree or two years of experience working as a
claims adjuster • Current adjuster license or equivalent certification • Demonstrated understanding of
claims investigation and dispute
resolution processes • Able to deal with potentially difficult
customers in stressful situation • Excellent communication skills
• Working knowledge of information technology tools such as data warehousing programs and all of the applications in the Windows Professional suite • Expert understanding of front office operations and how those tasks are integrated to help improve overall performance • Familiarity with insurance
claim submission and
resolution processes • Able to work well as a member of a team • Excellent
customer service and communication skills
• Well - researched in several current insurance carrier options • Familiar with provider incentives offered to encourage enrollment • Working knowledge of the
claim submission and
resolution processes • Excellent
customer service skills • Recognized as being an extraordinary communicator and listener
ICD - 9 / CPT
Claim Forms • Electronic
Claims • Medical Terminology • Patient Relations • Billing / Collections Communications • Conflict
Resolution • Confidentiality / Professionalism •
Customer Service / Support Insurance Billing • Administrative Support • Office Operations • Culturally Sensitive
Job duties may also require a pharmacy technician to help patients with their insurance
claim and health plan applications (see Reference 2 and 3); as part of these job duties, the technician obtains
customer information for such requirements as eligibility verification and benefit - related issue
resolution (see Reference 2).
My goal is to add value in an Operations position, using my extensive background in
Customer Service, specifically directing strategic planning, contract negotiations,
claim processing, inquiry
resolution and directing call centers.
Create / Edit documents for accuracy Answer Telephones Excellent
Customer Service Data Entry 10K @ 14,112 KSPH Accurate @ 49 WPM Evaluate
Claims Problem
Resolution Alpha / Numeric Filing Inventory MS Office Suite Medical Billing
Medicaid / Medicare Billing / Coding
Customer Service Research UB - 92 / CMS 1500 Problem
Resolution Research Eligibility /
Claims Status
Tags for this Online Resume: Benefit Specialist, Appeals Specialist, Quality Assurance,
Claims Representative, Project Coordinator,
Customer Resolution Specialist, Telecommute,
Customer Service, Clinical / Code Review,
Claim Investigations, Data Support Specialist, Adjustment Specialist
Tags for this Online Resume: Visionary Leader, Tenacious, Critical Thinker, Litigation Manager, Benchmarking, Compliance, Regulatory, Workforce Development, Trials, Change Management, Organizational Development, Trainer, Financial controls, Insurance, Contracts, Competitive Negotiation, Conflict
Resolution, Ethical, SEC Reporting, Budgets,
Customer Service,
Claims Management, Business Operations Acumen, New Business Development, Controlling Cost, Reducing Legal Spending, Mentor, Charismatic Leader, Dedicated, Quality, Word, Excel, PowerPoint, Self - motivated, Speed, Reliability, Performance, Dependable, Prepared, Legal, Dynamic, Focused, Bottom Line, Insight, Manager, Project Manager, Microsoft Office Suite
Enrollment Benefits Expertise
Customer Service / Support Liaison /
Claims Resolution HIPPA Regulations Knowledge Provider Education Cost Effective Healthcare
Provide exceptional service at all times Review and assist with Auto Insurance coverage and billing needs Process transactions and proactively provide recommendations based on
customer needs Interprets and understand policy contracts and needs to implement
resolutions (Assist sister department) Process «First Notice of Loss» capture new
claims and services existing
claims Explain and frame updates and expectations for
customers on when
claims updates would be provided.
Professional Experience United Healthcare 05/2009 — Present Network Account Manager • Generated new business consistently exceeding company production goals • Managed company databases and staff ensuring timely completion of company projects • Oversaw
claim resolution, provider performance, and provider appeals • Handled all lines of company products including Medicare, Medicaid, and commercial plans • Provided excellent
customer service guaranteeing client satisfaction
Tags for this Online Resume:
Claim Management, General Liability, Automobile, Training & Development,
Claim Evaluation &
Resolution,
Customer Satisfaction, Strategic Leadership
The Vitamin Shoppe
Customer Care Call Center (City, NJ) 10 / 2003 — 6/2007 Technical Product Information Agent /
Customer Care Associate • Oversaw all product inquiries and ensured accurate, coordinated corporate responses • Trained, managed, and supported
Customer Care team and Retail Communications group • Researched and implemented product information changes with developers and vendors • Provided timely
resolutions for client health complaints and product defects • Tracked late or lost shipments and corresponded with mail carriers to remedy errors • Processed returns, freight
claims, and other transactions in an accurate manner • Served as liaison with vendors, retail stores,
customers, and Better Business Bureau • Performed all duties in a professional, positive, and timely manner
Skills Summary ♦ Insurance Analysis ♦ Workflow Organization ♦ Staff Leadership ♦ Departmental Efficiency ♦
Claims Administration ♦
Customer Service ♦ Issue
Resolution ♦ Quality Control / Audits ♦ Professional Attitude