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JACOB ESTRADA
Claim Specialist Reasercher at Lauth Investigations International, Inc. - Lost Assets Division
JAY.ESTR11@yahoo.com
Summary
There are many objectives I plan on completing in my career. My highest priority is to impress not only my
company, but also the customers I assist. I am always as honest as possible. Work ethic is very important to
me. Everyday is a learning experience to me, and I will use that experience to achieve my goals.
Experience
Claim Specialist Reasercher at Lauth Investigations International, Inc. - Lost Assets Division
July 2016 - Present (2 months)
The Claims Research Specialist is responsible for researching and resolving complex inquiries and
issues related to billing, provider claims adjudication, and payment disputes. Makes timely correction
to errors for increased provider and customer satisfaction. Provides education and detailed first level
education to providers about their contract, as well as identifying and notifying provider when an error has
occurred. Interacts with various internal and external departments (including Claims Department (SDHA)
Customer Service, Appeals) to provide assistance and information. Tracks and trends issues, and makes
recommendations for improved contract terms, contract set-up, or claims adjudication policies. Assists in
preparation of reinsurance filings.
The Claims Research Department is a small team responsible for a variety of functions such as, researching
and resolving complex inquiries and issues related to billing, claims adjudication, payment disputes. The
Claims Research Department ensures that errors are resolved in a timely manner for increased provider/
customer satisfaction.
CONTRACTOR at Self
June 2006 - July 2016 (10 years 2 months)
Self-supervision
Customer service
Merchandise handling
Paperwork
Teller at JP Morgan Chase Bank
September 2009 - October 2011 (2 years 2 months)
As a teller, my customer service skills were polished. I learned various interpersonal skills. I also learned the
difficulty of counting money. I was taught valuable lessons working at a financial institution.
Page2
Languages
English (Native or bilingual proficiency)
Spanish (Professional working proficiency)
Education
Universal Technical Institute of California Inc
na, technician, 2009 - 2010
Liberty High
Diploma, Ge Ed, 2006 - 2009
Skills & Expertise
Finance
Banking
Financial Analysis
Management
Leadership
Sales
Public Speaking
Research
Budgets
Mathematics
Job Satisfaction
Customer Service
Volunteer Experience
Technician at Bakersfield City Fire Dept
September 2013 - Present
Fire fighter department viewed as a social service to my community.
Courses
na, technician
Universal Technical Institute of California Inc
Automobile Technician
.................................................................................................................................................................
Independent Coursework
math
Page3
Organizations
The Mob Museum
Customer Service Rep
Page4
JACOB ESTRADA
Claim Specialist Reasercher at Lauth Investigations International, Inc. - Lost Assets Division
JAY.ESTR11@yahoo.com
Contact JACOB on LinkedIn

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JACOBESTRADA

  • 1. Page1 JACOB ESTRADA Claim Specialist Reasercher at Lauth Investigations International, Inc. - Lost Assets Division JAY.ESTR11@yahoo.com Summary There are many objectives I plan on completing in my career. My highest priority is to impress not only my company, but also the customers I assist. I am always as honest as possible. Work ethic is very important to me. Everyday is a learning experience to me, and I will use that experience to achieve my goals. Experience Claim Specialist Reasercher at Lauth Investigations International, Inc. - Lost Assets Division July 2016 - Present (2 months) The Claims Research Specialist is responsible for researching and resolving complex inquiries and issues related to billing, provider claims adjudication, and payment disputes. Makes timely correction to errors for increased provider and customer satisfaction. Provides education and detailed first level education to providers about their contract, as well as identifying and notifying provider when an error has occurred. Interacts with various internal and external departments (including Claims Department (SDHA) Customer Service, Appeals) to provide assistance and information. Tracks and trends issues, and makes recommendations for improved contract terms, contract set-up, or claims adjudication policies. Assists in preparation of reinsurance filings. The Claims Research Department is a small team responsible for a variety of functions such as, researching and resolving complex inquiries and issues related to billing, claims adjudication, payment disputes. The Claims Research Department ensures that errors are resolved in a timely manner for increased provider/ customer satisfaction. CONTRACTOR at Self June 2006 - July 2016 (10 years 2 months) Self-supervision Customer service Merchandise handling Paperwork Teller at JP Morgan Chase Bank September 2009 - October 2011 (2 years 2 months) As a teller, my customer service skills were polished. I learned various interpersonal skills. I also learned the difficulty of counting money. I was taught valuable lessons working at a financial institution.
  • 2. Page2 Languages English (Native or bilingual proficiency) Spanish (Professional working proficiency) Education Universal Technical Institute of California Inc na, technician, 2009 - 2010 Liberty High Diploma, Ge Ed, 2006 - 2009 Skills & Expertise Finance Banking Financial Analysis Management Leadership Sales Public Speaking Research Budgets Mathematics Job Satisfaction Customer Service Volunteer Experience Technician at Bakersfield City Fire Dept September 2013 - Present Fire fighter department viewed as a social service to my community. Courses na, technician Universal Technical Institute of California Inc Automobile Technician ................................................................................................................................................................. Independent Coursework math
  • 4. Page4 JACOB ESTRADA Claim Specialist Reasercher at Lauth Investigations International, Inc. - Lost Assets Division JAY.ESTR11@yahoo.com Contact JACOB on LinkedIn