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The sample below is for Customer Service Clerk Claims Resume Sample. This resume was written by a ResumeMyCareer professional resume writer, and demonstrates how a resume for a Customer Service Clerk Claims Resume Sample should properly be created. Our Certified Professional Resume Writers can assist you in creating a professional document for the job or industry of your choice. A professional resume writing service can significantly increase your changes of securing employment in a quick time manner.

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CUSTOMER SERVICE/CLERK/CLAIMS

Dynamic and efficient with extensive experience in processing claims and managing in customer-driven and dynamic industries and recognized success in customer service functions with proven ability to work effectively with positive results. Highly motivated and efficient with a valuable track record in achieving organizational goals and delivering world-class customer service with proven ability to thrive in busy environment. Analytical and strategic thinker able to diagnose simple and complex issues while executing practical solutions that foster customer satisfaction and recognized ability to plan, organize and coordinate priorities in an expedient manner. Dependable with acknowledged reputation for integrity, sound business acumen and versatility in adapting to new roles, tasks, applications, and environments. Enthusiastic individual and an excellent communicator, recognized ability to establish and maintain effective working relationships across cross-functional teams and diverse individuals at any levels and build strategic relationships with clients.

Core Competencies
Claims Handling and Investigations • Customer Service • Project Management • Evaluation of Liability Exposure Client Relations • Collections • Policy Interpretation • Staff Training & Development • Administrative Functions

PROFESSIONAL EXPERIENCE

Anthem Blue Cross & Blue Shield, Richmond VA 11/2010 – Present
Claims Processor/Customer Service
Analyzed claims identified extent of company’s liability and approve/deny claims. Collaborated with doctors to identify insurance coverage and claims payable amount. Handled inquiries on processing insurance claims, insurance coverage and other insurance and billing procedures. Planned and coordinated employee benefit plans including records maintenance, benefit payment, administrative duties and handled other projects as requested. Processed payment, paper and electronic claims, determined errors on claims and ensured excellent service is provided to policyholders at all times. Assisted in processing file closure, resolved complex claims-processing issues and monitored claim status updates.
KeyHighlights:
• Successfully maintained quality rating of 94% in file handling and claims resolution from 2011 to 2012, exceeded 85% departmental goal.
• Received Service Excellence Award in 2012

Global Business Solutions, Glen Allen VA 3/2010 – 11/2011
Account Manager
Handled business accounts for Verizon Wireless client, prepared and completed sales reports and assisted associates with sales process. Ensured all associates follow current promotional guidelines. Interfaced with internal and external customers, explained invoices and collected payment on delinquent customer accounts. Identified and resolved complex billing issues.
KeyHighlight:

• Successfully trained and educated employees on promotional materials.

Alltel Wireless, Glen Allen VA 3/2008 – 5/2009
Wireless Sales Consultant
Assisted new and existing customers in selecting and purchasing products and services. Educated customers on product and service information including feature functionality and benefits. Handled and resolved all billing inquiries and equipment usage. Conducted customer follow up after sales transaction is completed to ensure customer satisfaction. Processed billing payments in a timely fashion. Ensured excellent service is provided at all times to ensure customer satisfaction.
KeyHighlights:
• Received Top Seller Award (2008).
• Selected by supervisor to assist in coaching and developing new sales consultants.
• Maintained a superior sales goal of 89% – exceeding the departmental goal of 80%.

EDUCATION AND CREDENTIALS

Bachelor of Science, Major in Communication, 5/2002
Virginia Union University

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