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