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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