Aisya Dennis
St. Cloud,FL
Summary
Experienced Claims Specialist skilled in insurance claim processing and dispute resolution. Successfully managed high-volume claims environments, demonstrating organizational skills under pressure. Known for analytical abilities in reviewing documentation and ensuring compliance, leading to timely settlements. Background in hospitality enhances customer service capabilities, fostering long-term client relationships. Responsible Night Auditor offering expertise in financial administration and hospitality services. Adaptable in handling diverse customer and business issues. Well-organized, reliable, and focused on long-term business success.
Overview
7
7
years of professional experience
Work History
Claims Specialist
State Farm
, FL
02.2022 - Current
- Investigated and analyzed auto insurance claims to determine validity, accuracy, and coverage.
- Determined liability based on facts gathered from investigations.
- Ensured compliance with company policies and procedures as well as applicable state regulations.
- Evaluated repair estimates for reasonableness and accuracy prior to authorizing repairs.
- Assessed damages to vehicles and property resulting from a variety of incidents.
- Managed multiple cases simultaneously while meeting established deadlines.
- Interviewed claimants, witnesses, police officers, medical professionals and other parties involved in the claim.
- Prepared detailed reports summarizing all aspects of the claims process.
Night Audit Manager
Magic Moment Resort
Kissimmee, FL
11.2021 - 12.2024
- Reconciled shift balances and prepared financial summaries for management review.
- Performed nightly audit functions in a timely manner to ensure accuracy in reports.
- Provided training and guidance to new hires on proper night audit procedures.
- Identified discrepancies between actual transactions and paperwork completed by front desk staff.
- Reviewed reservation logs to ensure that rooms were assigned correctly based on availability.
- Assisted guests with check-in and check-out processes as needed.
- Responded promptly to guest inquiries regarding reservations or other matters related to their stay at the hotel.
- Handled emergency situations involving guests or employees efficiently and calmly.
- Ensured compliance with hotel policies and procedures.
- Verified that all safety protocols were followed throughout the night shift.
Service Center Representative
Sedgwick
, FL
09.2020 - 11.2021
- Resolved customer queries related to health insurance claims, payments, reimbursements.
- Provided customer service to internal and external customers related to health insurance claims, billing issues, and policy questions.
- Documented all interactions related to health insurance claims processing in a secure system.
- Monitored health insurance claims data for accuracy and completeness.
- Analyzed data sets from various sources such as patient records or health insurance claims to inform decision-making.
- Processed insurance claims and submitted them electronically to the appropriate payer.
Night Auditor
Uptown Inn and Suites
Orlando, FL
01.2020 - 10.2020
- Completed end-of-day reconciliations of cash drawers and credit card transactions.
- Greeted arriving guests and checked them in to their rooms.
- Responded to customer inquiries regarding hotel services, reservations, directions.
- Prepared detailed audit reports at the end of each shift.
- Resolved customer issues quickly while maintaining a high level of professionalism.
- Answered telephone calls from customers related to billing inquiries or complaints.
- Verified that all charges posted were accurate prior to submitting final bills to guests.
Sales Consultant
Universal Studio Orlando
Orlando, FL
04.2018 - 09.2020
- Answered inbound sales calls.
- Assisted customers in selecting vacation packages, tickets, and accommodations that meet their needs and budget.
- Developed and presented guest service solutions and increased guest transaction value by offering and educating our guests on additional services offered by Universal.
- Met quality standards and delivered superior Guest Service on every contract as outlined by the Guest Contract Centers Quality Program.
Skills
- Claims analysis
- Liability determination
- Regulatory compliance
- Damage assessment
- Repair evaluation
- Customer service
- Case management
- Investigative interviewing
- Report preparation
- Policy interpretation
- Claims investigation
- Claims processing
- Verbal/written communication
- Policy and procedure adherence
- Upselling and cross selling
- Product promotions
Timeline
Claims Specialist
State Farm
02.2022 - Current
Night Audit Manager
Magic Moment Resort
11.2021 - 12.2024
Service Center Representative
Sedgwick
09.2020 - 11.2021
Night Auditor
Uptown Inn and Suites
01.2020 - 10.2020
Sales Consultant
Universal Studio Orlando
04.2018 - 09.2020