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3659 SW 99 AVE Apt 6
Miami FL 33165
786-691-6178
Lilianacc23@hotmail.com
Liliana Chavez
Objective
I am looking for a friendly environment. In general were I could perform my duties. I
have always been punctual and have known how to be part of a team when need it. I am
capable of working under pressure and meet goals as scheduled with quality in work.
Experience
2008-Today Axa Assistance Miami, FL
Claim Adjuster
 Investigate and process insurance claims filed by policy holders.
 Interview claimant to gather pertinent information
 Find and apply benefits for patients
 Verify that coverage applies through an insurance policy
 Evaluate all information to determine how claim should be handled
 Consult policy and hospital records
 Entries claims manually or assign them to the correct network to obtain
discount.
 Making decision based on my training and experience to obtain higher discounts
 Exchange information with client to be able to apply benefits in an a efficient
fast and accurate matter improving customer service and company revenue.
 Attending meetings with account manager to solve discrepancies on client
policies and agreements
 Interpret contracts and policies
 Properly identify issues that can affect provider payments
 Identify and pend claims for review possible COB
 Travel policies and process claims
2006-2007 Dr. Jimenez Dr. Crespo Dr. Garcia Office Miami, FL
Receptionist/Referral
 Attending phone calls.
 Schedule appointment for patients or medicine representative to meet with the
doctors.
 Assisting manager with billing and payroll forms
 Obtain referral from Insurance Companies
 Filing
 Taking messages from hospitals and paging doctors.
 Assisting manager with pharmacy calls.
2004-2006 Dr. Lordes Pila-Collazo and Dr. Carlos Fuster Office Miami, FL
Office assistance
 Assisting Nurse with patient (CAN license).
 Assisting Manager with pharmacy calls.
 Create new patient accounts.
 Obtain benefits from Insurance Company.
 Answering phones.
Education
2012-Today Miami Dade College Miami, FL
 Bachelor in Management and Supervision
 Claim Adjuster License 520
2006-2009 Florida National College Miami, FL
 A. S in Radiology Technology.
2003-2004 International Training Careers Miami, FL
 Certified Nursing Assistant
 Patient Care Technician
Reference
AXA Assistance USA
 Melissa Nelson or Giancarlos Castellanos
 305-893-5151 ext:1032115 or 1032311
Yamila Arencibia
 305-326-3343
Flory
 305-227-0088

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Resume

  • 1. 3659 SW 99 AVE Apt 6 Miami FL 33165 786-691-6178 Lilianacc23@hotmail.com Liliana Chavez Objective I am looking for a friendly environment. In general were I could perform my duties. I have always been punctual and have known how to be part of a team when need it. I am capable of working under pressure and meet goals as scheduled with quality in work. Experience 2008-Today Axa Assistance Miami, FL Claim Adjuster  Investigate and process insurance claims filed by policy holders.  Interview claimant to gather pertinent information  Find and apply benefits for patients  Verify that coverage applies through an insurance policy  Evaluate all information to determine how claim should be handled  Consult policy and hospital records  Entries claims manually or assign them to the correct network to obtain discount.  Making decision based on my training and experience to obtain higher discounts  Exchange information with client to be able to apply benefits in an a efficient fast and accurate matter improving customer service and company revenue.  Attending meetings with account manager to solve discrepancies on client policies and agreements  Interpret contracts and policies  Properly identify issues that can affect provider payments  Identify and pend claims for review possible COB  Travel policies and process claims 2006-2007 Dr. Jimenez Dr. Crespo Dr. Garcia Office Miami, FL Receptionist/Referral  Attending phone calls.  Schedule appointment for patients or medicine representative to meet with the doctors.  Assisting manager with billing and payroll forms  Obtain referral from Insurance Companies  Filing  Taking messages from hospitals and paging doctors.  Assisting manager with pharmacy calls. 2004-2006 Dr. Lordes Pila-Collazo and Dr. Carlos Fuster Office Miami, FL Office assistance  Assisting Nurse with patient (CAN license).  Assisting Manager with pharmacy calls.  Create new patient accounts.  Obtain benefits from Insurance Company.
  • 2.  Answering phones. Education 2012-Today Miami Dade College Miami, FL  Bachelor in Management and Supervision  Claim Adjuster License 520 2006-2009 Florida National College Miami, FL  A. S in Radiology Technology. 2003-2004 International Training Careers Miami, FL  Certified Nursing Assistant  Patient Care Technician Reference AXA Assistance USA  Melissa Nelson or Giancarlos Castellanos  305-893-5151 ext:1032115 or 1032311 Yamila Arencibia  305-326-3343 Flory  305-227-0088