Clerical/Insurance Assistant/Receptionist/Benefit Examiner/Insur Financial Rep

GRACE JACK
46 Skyline Drive	Cell :(917) 362-5041
Staten Island, NY 10304	Home: (718) 720-9202
	Email: canehall3@aol.com



PROFESSIONAL  SUMMARY
Qualified clerical, customer service, insurance assistant and administrative support staff, experiences gained through several industries; demonstrated continuous career progression by attending various seminars and administrative training.  Self-motivated, adaptable, with communication and writing skills; have proven ability to build trusted relationships with all levels of staff, executive management and business.


EMPLOYMENT
St Vincent Hospital, New York, NY							             5/2004- 2010
Financial Representative
•	Handled clients confidential information 
•	Work closely with agent of various insurance companies
•	Verified patients insurance details such as date of coverage, co-payments and deductibles    
•	Interviewed patients regarding insurance coverage and discuss self payment plan
•	Maintained detailed claims information
Administrative Clerk                                                                                                                                      
•	Completed employee workers compensation forms; C240, C2, and C11                     
•	Established employees’ personnel, medical and exit interview files for claims adjusters
•	Handled employees’ incident reports and maintained employee profiles 
•	Supervised distribution of office supplies
 
NYC Law Department, Brooklyn, NY                                                                                               1997-2004
Benefits Examiner
•	Case managed workers’ compensation claims filed by NYC Health and Hospital Corporation employees
•	Processed claims for litigation in conjunction with the Workers Compensation Board. 
•	Paid medical bills in accordance with the New York State Workers’ Compensation Fee Schedule
•	Organized cases for management conferences with Nurse Management and legal staff
•	Provided customer service to employees and healthcare providers in relation to benefits questions
•	Worked closely with NYC HHC Human Resources managers while determining employee benefits
            
Empire Blue Cross and Blue Shield, New York, NY 
Customer Service Representative                                                                                                       1985-1996
•	Resolved and responded to subscribers, hospitals and institutions inquiries
•	Enacted upon claims submitted by subscribers, hospitals and institutions
•	Completed a wide array of data assignments


EDUCATION:
 DEGREE:   Bachelor of Science – Business Management – College of Staten Island.  
 
                                               
COMPUTER SKILLS:  Proficient in Microsoft Excel, Word, Power Point, Outlook.