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Click here or scroll down to respond to this candidate Candidate's Name
Street Address Prestwyck Court
Alpharetta, GA Street Address
Mobile # PHONE NUMBER AVAILABLE
Home # PHONE NUMBER AVAILABLE
Email EMAIL AVAILABLE
Profile: I have more than twenty nine years experiences in Insurance as a Mail room clerk, File clerk and Claim Clerk, two years experience as a Cancellation clerk, and one year as a Rater. I have experience on Pitney Bowes postal machine, UPS machine, Barr printer, Copy machine and Fax machine.
Work Experience
CNA Insurance Company 07/2007-10/31/2013 ( Retired )
Atlanta, GA
Title: Clerk 11
Print documents, bills and EORS for War Hazard claims.
Print medical record for the adjustor s.
Reload and convert files into ACTS and Claim Center
Pulls files
Refile-put files back on the shelf after the adjuster s has reviewed the files.
Pull purge file and sent to storage.
Enter file into Iron Mountain Connect and on a spread sheet.
Retrieve files from storage for the adjustor s and Manager s
Print 39-50 reports daily (Barr Printer) stop loss, check not yet approved, loss monitor.
Process Disbursement Register Report for ALC 23 and 2A and sent to the Directors.
Backup person for Tier 3 unidentified claims
I was the back up person for the mailroom (process certified and regular incoming and outgoing mail.
Process UPS/FedEx incoming and outgoing mail. Distribute UPS and Fed-Ex incoming package to various departments and individual.
I assign Auto, Worker Comp, Large/Small property and Salvage claims to the Specialist and Adjustor s.
Worked on special projects for Medicare information pilot changing the medical beneficiary, ICD9E, 1CD9, and medical suffix in Claim Center.
Trained co-workers on how to process Disbursement Register Report, how to reload claims into Claim Center.
Paid Worker Comp, Salvage papers and electronic bills.
CNA Insurance Company 05/1998 07/2007
Duluth, GA
Title: Mail Room Clerk
Open, sort, stamp and distribute mail to each individual and department into a Hamilton sorter.
Index claims without a claim number and sent claim back to provider or insured for additional information in order to process claim.
Used a Pitney Bowes postal machine to process out going mail.
Dropped pifs into file jackets daily
Pull and copy files for the Claim Adjusters for law suits, audits etc.
Make phone call to providers for additional information in order to pay a claim.
Pull purge file from shelf, put in boxes and sent off site to storage, enter claim number month and date on a spread sheet and into Iron Mountain system.
CNA Insurance Company 11/26/1996-05/1998
Atlanta, GA
Title: File Clerk (Policy Records Dept)
I was responsible for dropping bills, letters, legal documentation and cancellation notice in a file jacket.
Maintain maintenance on over 1200-1500 files jackets daily (punch holes and put documentation on a brackets in date order).
Pull files and dairies for the Underwriting Dept for processing the claims.
Picked up outgoing mail from each department and dropped mail off to the mail room to be processed.
Northern Telecom/Nortel 1995-1996
Alpharetta, GA
Title: Clerk 1
I was responsible for entering per diem and payroll for the Field Representative on a spread sheet daily.
Calculate their hours worked and forward information to Home Office so the checks were issued to the individual employees.
I was responsible for any necessary changes that need to be made to the employee s hours for the week.
I was responsible for ordering supplies for the employee s.
First Health Insurance Company
Atlanta Gas Light Tower 1993--1995
Atlanta, GA
Title: Clerk 11
Entered data on each insured and depend (marriage, date of birth, divorced, death, adoption etc).
I made phone calls to the HR department for any changes or update on the insured coverage.
Maintain records of each change that was made to the insured coverage.
I received a print out of any errors and changes that was entered weekly.
Fred S. James Insurance Company 05/1985-1993
Tucker/Atlanta, GA
Title: Mail Room Clerk
I was responsible for incoming and out going mail.
Open, sort stamp and distribute mail to each department and individual daily.
I dropped incoming mail and work sheet into a file jacket ( by claim number).
Keep a record of all incoming UPS/ Fed-Ex
packages, certified mail distribute to each department and individual.
Mutual Of Omaha 07/1977-07/1983 5600 Roswell Rd #280
Roswell, GA 30342
Title: Claim Clerk
I was responsible for open, sorting stamping and distributing incoming mail. Manually typed check to the insured and the providers.
Maintain a log of each check that was typed and checks that was cancelled.
I used Pitney Bowes postal machine to process outgoing mail.
Maintain copies of the checks and work sheets daily.
I was trained manually how to pay medical and dental claims.
Ordered office supplies and kept inventory of supplies on hand.
Trained new assigned employees in the techniques and methods of processing claim.
Review insurance claims to insure correct fee, correct dependent, policy number and other eligibility requirements. Claims were sent to the Auditors for payment to insured and providers.
Mutual Of Omaha 1976-02/1977
Mutual Of Omaha Plaza
Omaha, Nebraska 68175
Title: Cancellation Clerk
I stamped all cancelled policies that were transferred to my department.
Maintain accurate record of each cancelled policy and the date the policy was cancelled.
Kept each cancelled policy in a file cabinet for 12 months and then sent the information to storage.
I was required to use a microfiche to process cancelled policies. I forward the cancelled policies to the Data Entry Dept for further processing.
National Indemnity Insurance Company 1974--1975
3024 Harney Street
Omaha, Nebraska
Title: Rater
Calculate premium for motorcycles, cars, trucks and mobile homes.
Cancel policy that was transferred to me for cancellation.
Maintain records of each policy that were cancelled.
Type various form letters explaining premium etc.
Process insurance claims to include reviewing the claim for eligibility, premium and class code.
Pull files from file room as needed.
Training:
Commerce Extension Business College 1975--1976
Omaha, Nebraska
Course: Junior Accounting
Job Corp: 11/1966-08/1968
300 South 14th St
Omaha, Nebraska 68102
Course: Secretary/Clerk Typist
Switchboard Operator--500 card board with 15 trunks and 350 extensions ( class room hrs 304).
Business Math, Business machines, Retailing, Filing, Typing, some bookkeeping, Business English, general business (class room hours 1,025 ).
CNA Insurance Company
Training/Courses:
Web based course
Being an Effected team member
Voice mail etiquette
Foreign Corrupt Practice Act
Reporting and Analytics
How to Deal with Difficult people in the Work Force.
How to be a good team member.
Working with PST
Bill Approval Tool
Code of Professional Conduct
Achievements:
Two awards for community service (feeding and clothing the homeless weekly for 6 years and 8 years of prison ministry/Angel Tree).
Received three bonus checks for supporting other Departments within the Company.
Participate in the Employee Action Committee.
Student Council
Junior Recreation Leader
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