Administrative Assistant Secretary Clerical - Secretary Admin. Ass
Administrative Assistant   Secretary   Clerical - Secretary Admin. Ass
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Administrative Assistant / Secretary / Clerical Resume


Desired Industry: Secretary/Admin. Assistant/Receptionist SpiderID: 74314
Desired Job Location: Palmdale, California Date Posted: 1/8/2015
Type of Position: Full-Time Permanent Availability Date: ASAP
Desired Wage:
U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience Willing to Travel:
Highest Degree Attained: High School/Equivalent Willing to Relocate: No


Objective:
A fluently speaking bilingual
Administrative Assistant with over 10
years experience looking for a
challenging position at a growth-
oriented company, which will allow me
to both further utilize my skills and
acquire new abilities.


Experience:
Acclamation Insurance Mgmt. Services
04/2011 - 06/2011
Claims Assistant
• Issued payments on all invoices with
the exception of medical bills.
• Follow up with internal and external
clients by phone, email or mail for
missing file information.
• Issues benefit payments in a timely
manner to injured workers.
• Miscellaneous administrative duties,
such as faxing, scanning, filing, data
entry.

Pacific Compensation Insurance Company
12/2007 - 04/2011
Claims Assistant
• Enter claims information and data
into company software.
• Review insurance claim forms and
related documents for completeness.
• Compose appropriately worded
communication on behalf of Claims
Examiners.
• Ensure time sensitive required
notifications are sent to clients.
• Follow up with internal and external
clients by phone, email or mail for
missing file information.
• Issues benefit payments in a timely
manner to injured workers.
• Process void, stopped or cancelled
checks.
• Issued payments on all other
invoices with the exception of medical
bills.
• Process objections to various bills
in a timely manner.
• Document any interactions and
communications with customers/brokers
and pass information to relevant
claims staff for review and
processing.
• Produced regular reports in Word and
Excel to enable effective monitoring
of the claims.
• Miscellaneous administrative duties,
such as faxing, scanning, filing, data
entry.

Zenith Insurance Company
06/2002 - 12/2007
Medical Only Examiner / Claims Asst.
• Responsible for setting up initial
claims, approving or rejecting claims
or arranging settlements.
• Effectively managed a caseload of
files.
• Check all information to determine
if all the information is correct and
confirm the claim is covered under our
policy.
• Managed medical treatment and
medical billing, authorizing as
appropriate.
• Answered phone calls and
communicated with claimants, providers
and vendors regarding claim issues.
• Preparing summary reports as per the
company’s policy and procedure
protocol.
• Responsible for preparing
appropriate letters in Word for all
parties involved.
• Determined compensability of a claim
and administered benefits based upon
state law in accordance with
established company guidelines.
• Maintain diary system for case
review and document file to reflect
the status and work being performed on
the file.
• Settled and/or finalized all claims
and obtained authority as designated.
• Other duties as assigned.

• Assisted in processing claims
accurately and in a timely manner.
• Supporting senior staff members
within the claims or insurance
organization.
• Answering phones, taking and
distributing messages, as well as
providing customers with information
as requested.
• Received claims information from
customers and entered the appropriate
information into a claims database.
• Prepared payments for disbursement
to customers.
• Entered data into the computer
database and organized and maintained
files.
• Completed various Word and Excel
projects for management.
• Viewed all incoming medical reports
and determined if a treatment request
needed to be addressed for
authorization and/or denial.
• Trained new employees in the
capacity of claims assistants per
company policy and procedures

Harold Maller, MD
05/2001 - 05/2002
Receptionist
• Scheduling/canceling patient
appointments.
• Schedule patient's hospital
admissions.
• Filing and completing medical
reports and insurance forms.
• Pulling patient charts, filling
discharge forms, etc.
• Processing incoming and outgoing
mail.
• Taking prescription refill messages.






Education:
Cleveland High School, Reseda CA
1995 - 1999
High School Diploma

Los Angeles Pierce College, Woodland
Hills CA
1999-2001
Some college courses and certificates.




Skills:
Knowledge of Microsoft Word, Excel,
Outlook, Powerpoint.

Knowledge of Windows, data entry.

Type 50+ WPM

Bilingual Spanish: speak, read, write,
interpret


Additional Information:
Certificates:
Computer Literacy, 1998

Computer Integration, 2002

Computer Operator/Software
Applications, 2002

Computer Applications and Office
Technologies, 2003


Reference:
Available upon request.


Candidate Contact Information:
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