Summary
Overview
Work History
Education
Skills
Timeline
Generic

Abiodun Agboola

Dallas

Summary

Detail-oriented Claims Resolution Specialist with almost 3 years of experience investigating, processing, and resolving claims. Proven ability to analyze policy coverage, resolve disputes, and ensure compliance with regulatory standards. Strong communicator skilled in customer service, claims adjudication, and conflict resolution.

Overview

7
7
years of professional experience

Work History

Claims Processor(Contract)

SS&C Technologies
07.2024 - Current
  • Reviewing insurance claims for accuracy, completeness, and validity.
  • Investigate claims to determine coverage, liability, and settlement amounts.
  • Ensure compliance with company policies, regulatory requirements, and industry standards.
  • Calculate and settle claims following company policies and regulatory requirements.
  • Handle all correspondence via mail and email.

Claims Resolution Specialist

Foundever
11.2022 - 07.2024
  • Processed and resolved 100+ claims weekly for [auto, property] insurance, ensuring accuracy and compliance.
  • Collaborated with providers, policyholders, and third-party administrators to resolve disputes.
  • Maintained accurate and detailed records of claim activity, including claim files and system documentation.
  • Ensured compliance with company policies, regulatory requirements, and industry standards.
  • Reviewed claims put on hold, worked to identify causes, and addressed issues causing them to remain on hold.

Account Associate

Bron Inc
06.2020 - 10.2022
  • Processed and recorded customer payments, invoices, and credit memos promptly and accurately.
  • Communicated with customers regarding payment status, outstanding balances, and any issues or discrepancies.
  • Prepared and sent invoices to customers, ensuring accuracy and completeness.
  • Reconciled accounts receivable ledger with the general ledger, resolved discrepancies, processed payments, and obtained payoffs to close accounts.
  • Ensured compliance with company policies, procedures, and regulatory requirements.

Property Preservation Specialist

Altisource Solutions Plano
11.2019 - 05.2020
  • Received and reviewed incoming work orders related to monthly maintenance items such as grass cuts, winterization, and entered transactions into the system using multiple systems.
  • Confirmed all work is completed accurately in compliance with client specifications and company policies.
  • Completed several tasks to support the client and vendor in preserving real estate.
  • Ensured property preservation works were completed.
  • Respond to customers in a compassionate, polite, and courteous manner.

AR Resolution Analyst

Mortgage Contracting Services
09.2018 - 11.2019
  • Performed collections and was a point of contact on specific customer accounts, identifying and resolving invoice issues through daily analysis and interpretation of account information.
  • Ensured payments are received within approved terms, reconciled accounts, researched, maintained customer base information, and worked with internal and external resources to resolve account issues as they arise.
  • Daily reviewed the revenue and receivable activity to research and resolve issues and quickly identify systemic problems.

Asset Preservation Coordinator

Mortgage Contracting Services
09.2018 - 11.2019
  • Received and reviewed incoming work orders related to monthly maintenance items such as repairs, grass cuts, winterizations, etc., and contacted appropriate resources as needed; entered transactions into PC using multiple systems.
  • Prepared, edited, distributed, and corrected specialized and complex documents, notes, and entries.
  • Monitored the queue to ensure the necessary property preservation work is completed.
  • Ensure all work is completed accurately and in compliance with client specifications and company policies.

Education

B Sc - Accountancy

Rufus Giwa Polytechnic
Owo, Ondo State, Nigeria

Skills

  • Ability to multitask and effectively manage time
  • Customer Service & Conflict Resolution
  • Strong analytical and problem-solving skills
  • Proficiency in claims processing software and systems
  • Proficient with Microsoft Office
  • Denial Management & Appeals Processing
  • Policy interpretation
  • Claims review

Timeline

Claims Processor(Contract)

SS&C Technologies
07.2024 - Current

Claims Resolution Specialist

Foundever
11.2022 - 07.2024

Account Associate

Bron Inc
06.2020 - 10.2022

Property Preservation Specialist

Altisource Solutions Plano
11.2019 - 05.2020

AR Resolution Analyst

Mortgage Contracting Services
09.2018 - 11.2019

Asset Preservation Coordinator

Mortgage Contracting Services
09.2018 - 11.2019

B Sc - Accountancy

Rufus Giwa Polytechnic

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