ALISHA DEAL
Hockley,TX
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Benefits Enrollment Specialist
Alight Worklife
07.2024 - Current
- Reduced errors in benefit enrollments by implementing rigorous quality control checks during all stages of the process.
- Implemented a new benefits management system, resulting in improved data organization and accessibility.
- Collaborated with HR team to ensure accurate and timely employee benefits administration.
- Developed clear documentation outlining company''s benefits offerings for easy reference by current and prospective employees.
Independent Claims Adjuster
Wardlaw Claims
03.2023 - 03.2024
- Developed trust-based rapport with clients through transparent communication practices regarding their claim status.
- Served as a liaison between policyholders, repair vendors, and legal representatives to facilitate smooth claims handling processes.
- Educated clients about relevant policy provisions so they could better understand their coverage benefits and limitations.
- Delivered exceptional customer service by addressing client concerns promptly and professionally throughout the claims process.
- Navigated complex policy guidelines to ensure accurate claim evaluations and fair settlements for clients.
Claims Adjuster
Amica Mutual Insurance
Dallas, TX
06.2022 - 12.2022
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Benefits Specialist
Guardian Life
Dallas, TX
08.2021 - 06.2022
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Assisted in resolving complex benefits issues, leading to increased employee satisfaction and retention rates.
- Educated managers on current benefit offerings and policies, enabling them to better assist their teams with questions or concerns.
Customer Service Rep
Stericycle
North Richland Hills, TX
01.2021 - 07.2021
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
E-4
US Army Reserve
10.2016 - 03.2024
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Education
High school diploma -
05.2016
Skills
- VALUATION KNOWLEDGE
- SUBROGATION
- INSURANCE POLICY COVERAGE
- POLICY INVESTIGATIONS
- MILITARY EXPERIENCE
- MS OFFICE(WORD, EXCEL, POWERPOINT)
- Team management
- Customer service
- Interviewing
- Automotive repair
- Microsoft Excel
- Microsoft Word
- Microsoft Office
- English
- Communication skills
- Microsoft Outlook
- HIPAA
- Computer skills
- Computer literacy
- Phone etiquette
- Sales
Certification
- Driver's License, 10/01/22, 10/01/28
- Property & Casualty License, 05/01/22, 10/01/24
Timeline
Benefits Enrollment Specialist
Alight Worklife
07.2024 - Current
Independent Claims Adjuster
Wardlaw Claims
03.2023 - 03.2024
Claims Adjuster
Amica Mutual Insurance
06.2022 - 12.2022
Benefits Specialist
Guardian Life
08.2021 - 06.2022
Customer Service Rep
Stericycle
01.2021 - 07.2021
E-4
US Army Reserve
10.2016 - 03.2024