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Insurance Representative C.V Example Insurance Representative Resume Sample

The following is an example of a qualified / professional Insurance Representative resume sample(s). These resume examples uses an integration resume layout. The Resume initiates with the applicants qualification profile, outlining key-qualifications for Insurance job field.

Then, the candidate has an outline of their full work experience (employment history) in sequential order with employment dates on file.

Next is the Educational background, listed in descending order (most recent first). It then moves onto the Professional Background, highlighting skills separated into professional & personal skills.

And lastly, Certifications/Licenses that the candidate it involved with. Then a final part displays any other additional information that the candidate want it to be listed.

Resume Example for Insurance Representative

Yuma, AZ

Dynamic, proactive and people-driven professional with over 15 years of comprehensive business experience including billing, front office, customer service, and commercial billing. Proven ability to provide critical support in the development and implementation of business strategies that achieve business results. Equally adept at optimizing performance through organizational change. Excellent skills in problem solving, multi-tasking and communications. A trusted company advocate who can effectively balance the needs of both individual and organization. Broad based qualifications include: 
 
Insurance verification Billing and Collections Customer Service Worker’s Compensation Operations Management Microsoft Office Patcom Caremedic Online Medicare online, UB-O4 Claim,1500 Claim

Work Experience

Insurance Representative

Corona Optique

Yuma, AZ

March 2017 to Present

• Verifies all patients insurance and demographic information. 
• Update and maintains computer database and files documents; researches electronic and paper files, records, and documents. 
• Provides customer service, information and assistance to customers and clients questions; resolves issues. 
• Manage multi-line phones. 
• Complete patients charts. 
• Coordinates special projects, program assignments, and research. 
• Cross-trained in other department as needed.

Quality and Utilization Management Specialist

Community Health Associates

Yuma, AZ

January 2016 to March 2017

• Provide administrative support tasks for the organization. 
• Implement protocols and processes to accomplish established goals. 
• Assists the organization in planning, organizing, and implementing medical records, billing, and compliance functions with agency-wide. 
• Complete and coordinates special projects, program assignments, and research projects. 
• Updates and maintains computer database and files; researches electronic and paper files, records, and documents.

Patients Account Representative

Yuma Rehab Hospital

Yuma, AZ

October 2008 to December 2015

• Follow up on accounts with outstanding balances, processing appeals, denials and collection agency accounts. 
• Effectively compile and utilize pertinent informational hospital reports then present findings through weekly team meetings. 
• Successfully answered customers questions regarding bills, co-pays, and collections. 
• Respond to group emails and voicemail’s on a daily basis. 
• Processed customer inquiries regarding patient issues via mail, fax, email and in person. 
• Processed self-pay accounts for full payment, partial payment, and long term payment. 
• Processed Commercial, FT Yuma, Worker Compensation and self-pay accounts. 
• Updates and maintains computer database and files; researches electronic and paper files, records, and documents. 
• Review and updates billing reports. 
• Cross-trains in other department as needed.

Reimbursement Specialist

Sunset Community Health Care

Yuma, AZ

May 2007 to October 2008

• Processed Commercial billing and follow up also maintained accounts with collection agency. 
• Processed customer inquiries regarding patient issues via mail, fax, email and in person. 
• Processed self-pay accounts for full payment, partial payment, and long term payment. 
• Updates and maintains computer database and files; researches electronic and paper files, records, and documents. 
• Review and updates billing reports.

Patient Accounts Representative

Yuma Regional Medical Center

Yuma, AZ

May 2005 to May 2007

• Processed customer inquiries regarding patient issues via mail, fax, email and in person. 
• Processed self-pay accounts for full payment, partial payment, and long term payment. 
• Processed Commercial, FT Yuma, Worker Compensation and self-pay accounts. 
• Followed up on accounts with outstanding balances, processing appeals, denials and collection agency accounts. 
• Process accounts with large outstanding balances and presented findings at weekly presentations. 
• Updates and maintains computer database and files; researches electronic and paper files, records, and documents. 
• Review and updates billing reports. 
• Cross-trains in other department as needed.

Education

Bachelors in Business Administration in Business Administration

University of Phoenix

Skills

Clerical (Less than 1 year), Excel (Less than 1 year), MS Office (Less than 1 year), organizational skills (Less than 1 year), PeopleSoft. (Less than 1 year)

Certifications/Licenses

Licensed Nursing Assistant

June 2005 to August 2019

Substitute Teacher

August 2016 to Present

Additional Information

AREAS OF EXPERTISE 
 
* Excellent Strategist – Provide solutions that boost productivity and efficiency across the organization. Quickly identify problem areas and implement effective solutions to meet goals. 
* Exceptional organizational skills – Consistently recognized by colleagues for exceptional talents in needs analysis and problem resolution in fast-paced environments. 
* Strong sense of responsibility – Solid professional standards; excellent track record of dependability. Maintain focus on achieving results while implementing business solutions to meet a diversity of needs. 
* Administration and Management – Knowledgeable of business and management principles involved in strategic planning, resource allocation, leadership technique, and coordination of people and resources. 
* Clerical – Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology. 
* Computer Skills – Knowledgeable of computer programs to include MS Office applications to include PowerPoint, Excel, Word, and PeopleSoft. 
* FINGERPRINTS CLEARANCE CARDS – IVP & Level One Fingerprint Clearance Card