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Blue Cross Blue Shield Of Tn - Claims Processor Resume Example

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XXX XXXX XXXXX XX, Cleveland, TN 37323
XXX XXXX XXXXX XX, 37323, Cleveland TN
XXXXXXXXXXXXX
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Professional Summary

Service-oriented Customer Service Representative with 10 year background in Call Center. Core competencies include Organization, Active listener and Focusing on the customer as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency.

Skills
  • Customer and Personal Service
  • Clerical
  • Reading Comprehension
  • Writing
  • Time Management
  • Complex Problem Solving
  • Persuasion
  • Production and Processing
  • Active Listening
Experience
Consumer Support Representative Apr 2011Jun 2017 Randstad/ Whirlpool Cleveland, TN
  • Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.
  • Create, maintain, and enter information into databases.
  • Operate office equipment, such as fax machines, copiers, or phone systems and arrange for repairs when equipment malfunctions.
  • Locate and attach appropriate files to incoming correspondence requiring replies.
  • Operate electronic mail systems and coordinate the flow of information, internally or with other organizations.
  • Provide services to customers, such as order placement or account information.
  • Conduct searches to find needed information, using such sources as the Internet.
  • Learn to operate new office technologies as they are developed and implemented.
Claims Processor Aug 2004Apr 2011 Blue Cross & Blue Shield of TN Chattanooga, TN
  • Enter medical, hospital and drug claims into computer system
  • Review insurance policy to determine coverage.
  • Prepare insurance claim forms or related documents and review them for completeness
  • Provide customer service, such as limited instructions on proceeding with claims or informing customer of covered benefits.
  • Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
  • Calculate amount of claim.
  • Post or attach information to claim file.
  • Transmit claims for payment or further investigation.
Data Entry/Customer Service Representative Sep 1994Feb 2004 Express Fulfillment Center Chattanooga, TN
  • Compile, sort and verify the accuracy of data before it is entered.
  • Store completed documents in appropriate locations.
  • Locate and correct data entry errors, or report them to supervisors.
  • Load machines with required input or output media such as paper, cards, disks, tape or Braille media.
  • Read source documents such as canceled checks, sales reports, or bills, and enter data in specific data fields or onto tapes or disks for subsequent entry, using keyboards or scanners.
Education
Technical Certificate of Graduation : Aesthetics Aug 2016 Chattanooga State Community College Chattanooga, TN

GPA 4.0

Graduated in top 3% of class.

Graduated with honors.

Member, National Honor Society.

Member of Skills USA

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Resume Details

This is a real resume for a Claims Processor in Cleveland, Tennessee with experience working for such companies as Randstad Whirlpool, Blue Cross Blue Shield Of Tn, Express Fulfillment Center. This is one of the hundreds of Claims Processor resumes available on our site for free. Use these resumes as templates to get help creating the best Claims Processor resume.

Previous Companies:

  • Randstad Whirlpool
  • Blue Cross Blue Shield of TN
  • Express Fulfillment Center

Previous Job Positions:

  • Claims Processor
  • Data Entry
  • Customer Service Representative

Schools:

  • Chattanooga State Community College

Level of Education:

  • Technical Certificate of Graduation

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