Summary
Overview
Work History
Education
Skills
Timeline
Generic

Alyssa Willis

Largo,FL

Summary

Experienced in processing hundreds of claims in high-volume environments. Successful at managing complete claims process with minimal direction. Conversational skills in English.

Skilled in interviewing, records searching and documentation. Excellent critical thinking and organizational abilities. Proficient in insurance policy coverage levels, industry practices and compliance requirements.

Dedicated team player adept at managing customer service and claims processing for policyholders. Looking for a long-term position with a growth-oriented company.

Effective at dealing with individuals during stressful and confusing situations to address benefits needs and navigate agency structures. Practiced at working with regulatory limits and department standards to handle requirements via email, letter, telephone calls or in person.

Meticulous Claims Representative with a 5-year background in the life insurance industry and 4-year background in Workers Compensation. Talented at processing claims, coding, and compiling statistical data for reports. Strong attention to detail and exceptional coordination skills.

Analytical proficient in information gathering, report preparation and data compilation capabilities. In-depth knowledge of insurance coverage forms, procedures and policies. Accommodating and logical individual skillful in creating customized requests for each client.

Overview

10
10
years of professional experience

Work History

Medical Claims Representative

Amerisure Insurance
08.2019 - Current
  • Establishes medical reserves, approves medical bills and reviews/request medical records. Authorizes medical treatment and schedules medical appointments.
  • Verified details with insureds/claimants and requested additional information.
  • Processed high volumes of medical only claims efficiently while working in fast-paced environment.
  • Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote effective service times for all parties.
  • Provided quality customer service to all assigned, insured and claimants throughout claims process to deliver timely service to customers.
  • Responded to telephone inquiries from insured, claimant's and agencies to deliver information to inform and educate callers.
  • Achieved results in ambiguous environment with high level of accuracy and attention to detail.
  • Collaborated with fellow team members to manage large volume of claims.
  • Verified policy holder data, including age, contact number, physical address and return to work status
  • Collaborated closely with other team members to resolve large volume of claims on timely basis.
  • Handled the modification and updating of policies.
  • Complied with confidentiality regulations in handling customer information.

Claims Supp

American Strategic Insurance (Temporary Position)
01.2019 - 08.2019
  • Analyze insurance claims to prevent fraud.
  • Assist with answering homeowners insurance calls and completing FNOL's
  • Pay bills
  • Manage email inboxes to make sure the correct documentation is being placed in the correct claims
  • Mailing check/letters to insureds
  • Creating of manual checks
  • Email triage

Customer Service Representative

Transamerica Life Insurance Company/TCS
05.2014 - 01.2019
  • Provide information about the company's products and services to boost sales.
  • Answer incoming call center questions about insurance policies and insurance coverage issues, as well as consumer complaints and general inquiries
  • Demonstrate accuracy in processing client policy modifications based on the data given
  • Verify new customers coverage and present policyholders with proof of insurance paperwork
  • Initiate claims, loans, withdrawals and 1035 exchanges
  • Keep track of all customer inquiries and follow up to verify that all questions are answered regarding customer policies
  • Stay up-to-date on new marketing efforts to answer insurance product inquiries utilizing all the resources available
  • Handle complaints, present appropriate solutions, and alternatives within the timeframes set, and follow up to ensure that the issue has been resolved

Education

Associate of Science - Business Administration And Management

Hillsborough Community College
Tampa, FL
05.2023

High School Diploma -

Tarpon Springs High School
Tarpon Springs, FL
05.2007

Skills

  • Policy knowledge
  • Documentation research
  • Coverage determination
  • Settlement agreements
  • Exceptional recordkeeping abilities
  • Number-savvy
  • Ability to prepare reports
  • Background in insurance
  • Outstanding clerical abilities
  • Problem Resolution
  • Equipment Operation
  • Organization
  • Notary Public
  • Stock Rotation
  • Communications
  • Accounts Receivable
  • Process Improvement
  • Eligibility Verification
  • Customer Service

Timeline

Medical Claims Representative

Amerisure Insurance
08.2019 - Current

Claims Supp

American Strategic Insurance (Temporary Position)
01.2019 - 08.2019

Customer Service Representative

Transamerica Life Insurance Company/TCS
05.2014 - 01.2019

Associate of Science - Business Administration And Management

Hillsborough Community College

High School Diploma -

Tarpon Springs High School
Alyssa Willis