Alesia Dule
Toms River,NJ
Summary
Claims Manager with proven expertise in problem-solving and negotiation. Skilled in financial and data analysis, resulting in enhanced operational efficiency and resolution of complex customer issues. Strong commitment to exceptional service delivery and process improvements, fostering collaboration across departments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Representative
A&M Damage Solutions LLC
Toms River, NJ
04.2025 - Current
- Investigated claims to confirm coverage and liability, negotiated settlements, and determined payment amounts.
- Systematically maintained detailed communication records with customers, claimants, providers, and internal departments.
- Identified improvement areas by analyzing trends related to claim denials or delays.
- Played a key role in formulating new processes to boost efficiency across operations.
- Logged changes in claim statuses through specialized software systems for clarity.
- Worked collaboratively with multiple departments to quickly rectify billing disputes and customer concerns.
Claims Manager
Rooterman Plumbing
Toms River, NJ
01.2023 - 03.2025
- Maintained accurate records of all customer contact attempts and account updates in the database system.
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Collaborated with other departments to investigate potential coverage disputes or discrepancies.
- Resolved escalated customer issues by providing effective solutions in a timely manner.
Outbound Sales Call Center Agent
Fast Call
Tirana , Albania
03.2017 - 06.2021
- Delivered outstanding customer service via in-person and telephone communication.
- Ensured database accuracy by maintaining current information records.
- Addressed customer inquiries promptly to improve satisfaction levels.
- Conducted analysis of customer data to determine preferences for targeted marketing initiatives.
Education
Bachelor of Science - Finance
Kean University
Union, NJ12-2025
Associate of Science - Business
Ocean County College
Toms River, NJ12-2023
Some College (No Degree) - General Studies
Kansas City Kansas Community College
Kansas City, KSSkills
- Financial analysis
- Data analysis
- Customer service
- Project management
- Regulatory compliance
- Problem solving
- Negotiation skills
- Settlement agreements
- Decision-making
- Time management
- Microsoft office
- Insurance regulations
Languages
Italian
Full Professional
Albanian
Native/ Bilingual
English
Full Professional
Certification
- IICRC Certified (WRT)
Timeline
Claims Representative
A&M Damage Solutions LLC
04.2025 - Current
Claims Manager
Rooterman Plumbing
01.2023 - 03.2025
Outbound Sales Call Center Agent
Fast Call
03.2017 - 06.2021
Bachelor of Science - Finance
Kean University
Associate of Science - Business
Ocean County College
Some College (No Degree) - General Studies
Kansas City Kansas Community College
Similar Profiles
Marv BentzMarv Bentz
Multi Line Corporate Appraiser at Property Damage Appraisers/ SAS Alacrity SolutionsMulti Line Corporate Appraiser at Property Damage Appraisers/ SAS Alacrity Solutions
Michele RoblesMichele Robles
File Reviewer at Montano's Damage Consulting, LLCFile Reviewer at Montano's Damage Consulting, LLC
Noah GibsonNoah Gibson
Lead Technician at Royal Water Damage RestorationLead Technician at Royal Water Damage Restoration
Devon LindsayDevon Lindsay
Customer Service/Cashier at Sundaes The Ice Cream PlaceCustomer Service/Cashier at Sundaes The Ice Cream Place
Randy MylesRandy Myles
Groundskeeper/Lead Floral Designer at America's KeswickGroundskeeper/Lead Floral Designer at America's Keswick