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Josue Ortega
City, State, Zip Code
Home: 000-000-0000 | Cell: 000-000-0000
email@email.com
Professional Summary
Highly-qualified and experienced Insurance Claims Representative focused on providing the best customer service possible while upholding all company policies.
Core Qualifications
- In-depth knowledge of medical insurance and medical terminology
- Experience in personal auto home and medical insurance
- Great ability to gather information and input data into computer system
- Capable of typing 40+ words per minute
- Exceptional communication skills with customers and coworkers
- Organized and efficient in all work
Experience
Insurance Claims Representative
12/1/2006 – Present
Company Name
City, State
- File and process client insurance claims
- Ensure the coverage and figure the payment amount for each claim
- Draft and send statements of amount of coverage and amount owed to the customer
- Send payments to doctorsÕ offices or hospitals for covered procedures
- Assist new customers in signing up for insurance coverage
- Enter all customer information into the computer system for future record
- Reimburse customers for payments made that should have been covered
- Help with customer appeals to denied claims
Insurance Claims Representative
4/1/2001 – 12/1/2006
Company Name
City, State
- Assisted customers in making claims for their home or auto insurance coverage
- Explain coverage or denial of claim to inquiring customers
- Confidentially record all customer information regarding claims payments etc.
- Provide monthly reports to superiors including the total amount of claims paid or denied
Education
BachelorÕs Degree – Accounting
XXXX – XXXX
Georgetown College
Georgetown, KY
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