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Applied Underwriters - Claims Specialist Resume Example

Ethan Davis
XXXX X XXXXX XXXXX XXXXX, Omaha, NE 68154
H: XXXXXXXXXXXX
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Professional Summary

Reliable Claims Specialist with a Psychology degree and background in social workGoal-oriented and energetic with a combined 8 years of experience in case management and human services.

Skills
  • Active Listening
  • Critical Thinking
  • Customer and Personal Service
  • English Language
  • Judgment and Decision Making
  • Reading Comprehension
  • Time Management
  • Coordination
  • Clerical
  • Writing
Experience
Claims Specialist 12/2014 to Present Applied Underwriters Omaha, Ne
  • Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
  • Post or attach information to claim file.
  • Effectively communicate with the claims adjuster to achieve completion of tasks.
  • Utilize team leader and co-workers to ensure work is done correctly.
  • Prioritize tasks to meet deadlines assigned by the company and the adjuster.
  • Make phone calls to medical providers to obtain work status, treatment requests, and follow up appointments regarding claimants.
  • Use of email, electronic fax, copiers, and scanners to efficiently accomplish daily tasks.
  • Assist other specialists in completion of work during slow times.
  • Create benefit letters with accurate information regarding amount of benefits the claimant will be paid.
  • Maintain a payment record of claimant benefits paid.
  • Calculate various payments made to external entities that provide services to our clients.   
massage therapist 10/2013 to 12/2014 West Omaha Chiropractic Omaha, NE
  • Assess clients' soft tissue condition, joint quality and function, muscle strength, and range of motion.
  • Refer clients to other professionals (i.e., physical therapists, chiropractic, doctors, etc.) when necessary.
  • Confer with clients about their medical histories and problems with stress or pain to determine how massage will be most helpful.
  • Develop and propose client treatment plans that specify which types of massage are to be used.
  • Provide clients with guidance and information about techniques for postural improvement and stretching, strengthening, relaxation, and rehabilitative exercises.
  • Apply finger and hand pressure to specific points of the body.
  • Consult with other health care professionals, such as physiotherapists, chiropractors, physicians, and psychologists, to develop treatment plans for clients.
  • Maintain treatment records.
massage therapist 10/2012 to 12/2014 Prairie Life Fitness Omaha, NE
  • Assess clients' soft tissue condition, joint quality and function, muscle strength, and range of motion.
  • Confer with clients about their medical histories and problems with stress or pain to determine how massage will be most helpful.
  • Develop and propose client treatment plans that specify which types of massage are to be used.
  • Provide clients with guidance and information about techniques for postural improvement and stretching, strengthening, relaxation, and rehabilitative exercises.
  • Massage and knead muscles and soft tissues of the body to provide treatment for medical conditions, injuries, or wellness maintenance.
  • Consult with other health care professionals, such as physiotherapists, chiropractors, physicians, and psychologists, to develop treatment plans for clients.
  • Maintain treatment records.
community support specialist/trainer 09/2011 to 05/2013 Hill Counseling and Consulting Omaha, NE
  •  Maintain detailed documentation for services provided to families.
  • Developed safety and service plans for families involved in child welfare.
  • Assisted families in achieving goals outlined in their case plan and/or safety plan
  • Collaborated with other professionals and the family to help the family improve on their weaknesses and achieve outcomes in a more timely manner.
  • Intervened during unsafe times during visits
      between the parents and their children.
  • Provided recommendations to the referring agency.
  • Trained new employees and assisted in creating the training manual for community services employees.
Family Permanency Specialist/Mentor 10/2009 to 09/2011 Nebraska Families Collaborative Omaha, NE
  • Review and analyze provider reports and provide feedback to other professionals, families, courts, and supervisor.
  • Daily communication with professionals, families, supervisors, upper management, and legal parties via email, phone, and/or fax.
  • Interview clients individually, in families, or in groups, assessing their situations, capabilities, and problems, to determine what services are required to meet their needs.
  • Serve as liaisons between students, homes, schools, family services, child guidance clinics, courts, protective services, doctors, and other contacts, to help children who face problems such as disabilities, abuse, or poverty.
  • Develop and review service plans in consultation with clients, and perform follow-ups assessing the quantity and quality of services provided.
  • Refer clients to community resources for services such as job placement, debt counseling, legal aid, housing, medical treatment, or financial assistance, and provide concrete information, such as where to go and how to apply.
  • Consult with parents, teachers, and other school personnel to determine causes of problems such as truancy and misbehavior, and to implement solutions.
  • Recommend temporary foster care and advise foster or adoptive parents.
  • Address legal issues, such as child abuse and discipline, assisting with hearings and providing testimony to inform custody arrangements.
  • Develop and review service plans in consultation with clients, and perform follow-ups assessing the quantity and quality of services provided.
  • Provide, find, or arrange for support services, such as child care, homemaker service, prenatal care, substance abuse treatment, job training, counseling, or parenting classes, to prevent more serious problems from developing.
  • Place children in foster or adoptive homes, institutions, or medical treatment centers.
  • Evaluate personal characteristics and home conditions of foster home or adoption applicants.
  • Arrange for medical, psychiatric, and other tests that may disclose causes of difficulties and indicate remedial measures.
Education
Massage Therapy 09/2012 Universal College of Healing Arts Omaha, NE
Bachelor of Science: Psychology 06/2006 Bellevue University Bellevue , NE I was on the Deans list 2 of the 4 years I attended this school.
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Resume Details

This is a real resume for a Claims Specialist in Omaha, Nebraska with experience working for such companies as Applied Underwriters, West Omaha Chiropractic, Prairie Life Fitness. 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:

  • Applied Underwriters
  • West Omaha Chiropractic
  • Prairie Life Fitness

Previous Job Positions:

  • Claims Specialist
  • Massage Therapist
  • community support specialist
  • trainer
  • Family Permanency Specialist

Schools:

  • Universal College of Healing Arts
  • Bellevue University

Level of Education:

  • Massage Therapy
  • Bachelor of Science

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