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Accredo - Claims Specialist Resume Example

Stuiuqroe Wborn
XXXX XXXXXXXXXX XXXXX XXXXX, Orlando, FL 32839
XXXX XXXXXXXXXX XXXXX XXXXX, 32839, Orlando FL
XXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXX
Professional Summary

Accomplished and energetic Claims Rep with a solid history of achievement in Claims and Research Motivated leader with strong organizational and prioritization abilities. Areas of expertise include Claims, Investigation,and Supervisory.



Skills

20 years Customer Service 

15 years Data Entry
15 years Claims Merchandising
4 Years Claims Medical
20 Years of Power Point,Excel,Windows,Cash Handling

Experience
Claims Specialist: Oct 2013Current Accredo : Orlando, FL Verify insurance information for patients so that they can get their medication. Ialso do Intake for patients to update their information in our systems.
  • Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
TBC Manager: Jan 2005Feb 2013 Sam's Club: Orlando, FL I managed a team of 8 Tire Technicians and 2 Cashiers. I'm certified Tire Changer and Rotator, I also know how to install wiper blades and batteries. I have been to Michelin Proving Grounds and Goodyear Proving Grounds. I'm aCertified Tire Technician. I created schedules, approved time, conducting interviews, Reviewed Sales Report,  Inventory Clerk and Sales
Verifier: Oct 2000Feb 2013 Sam's Club: Orlando, FL Receiving Clerk  i verified merchandise as it was received and ialso worked In the office, billing and receivables, invoices, data entry,claims and damaging out merchandise.
Claims: Oct 1998Feb 2013 Sam's Club: Orlando, FL Iwas responsible for claiming out merchandise and sending out back to the manufacturer,also getting credits for the claims to recoup our losses at store level.
Education
Bachelor of Science: Business Administration w/ Concentration of Health Administration, Oct 2017 Strayer University, Orlando, FL I start school in Oct
Associate of Science: Health Information Technology, Jun 2007 Fortis College, Winter Park, FL Billing and Coding
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Resume Details

This is a real resume for a Claims Specialist in Orlando, Florida with experience working for such companies as Accredo, Sams Club. This is one of the hundreds of Claims Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Claims Specialist resume.

Previous Companies:

  • Accredo
  • Sams Club

Previous Job Positions:

  • Claims Specialist
  • Verifier
  • Claims

Schools:

  • Strayer University
  • Fortis College

Level of Education:

  • Bachelor of Science
  • Associate of Science

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