Cheyanna Scott

• Investigate and adjust claims for property, casualty, and auto insurance, handling an average caseload of 200 claims per month.
• Determine liability, calculate damages, and negotiate settlements within designated authority.
• Collaborate with attorneys, contractors, repair shops, and third-party administrators.
• Achieved 100% closure rate within 90 days, exceeding company targets.

• Incoming calls from State Farm Insured Customers

• Responsible for Submitting Loss Report (Fire)

• Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
• Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.

• Verifying the qualifications, licenses, certifications, and work experience of medical professionals.
• Ensuring compliance with industry standards and regulatory requirements, conducting background checks, and monitoring the expiration dates of credentials
• Collected, arranged, and input information into database system.

• Handled escalated calls professionally, mitigating concerns effectively while maintaining excellent rapport with clients.
• Inbound calls from pharmacies, and Doctor Office to verify Insurance Coverage
• Responsible for Insurance Verification
• Responsible for completion of Prior Authorizations
• Assisted supervisor with daily performance evaluation for team.