Amanda Brucker
Mackinaw,IL
Summary
Friendly insurance professional experienced in investigating and processing insurance claims. Hardworking and communicative individual excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims.
Overview
18
18
years of professional experience
Work History
Bodily Injury Claims Specialist
State Farm
02.2012 - 09.2023
- Reviewed insurance and medical documents to verify required information and secure any missing data for settlements.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Conducted full claim investigations and reported updates and legal actions.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Negotiated with other involved parties to arrange settlements for maximum results.
- Collaborated with legal counsel to make organizational claims decisions aligning with governing laws.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Followed up with customers on unresolved issues.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured and non-insured customers.
Sales Representative
Afni Call Center
07.2005 - 02.2012
- Managed customer accounts to secure customer satisfaction and repeat business.
- Trained and mentored new sales representatives.
- Retained excellent client satisfaction ratings through outstanding service delivery.
- Developed and maintained comprehensive understanding of products, services and competitors to enhance sales presentations.
- Answered customer questions about products and services, helped locate merchandise, and promoted key items.
- Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
Education
High School Diploma -
Olympia High School, Standford, IL
Stanford, ILSkills
- Bodily Injury Settlements Proficiency
- Settlement Determinations
- Liability Determinations
- Service Quality
- Production Goals
- Complex Coverage Issues
- Fraud Detection
- High-Exposure Claims
- Accident Investigations
- Special Projects
- Claims
Timeline
Bodily Injury Claims Specialist
State Farm
02.2012 - 09.2023
Sales Representative
Afni Call Center
07.2005 - 02.2012
High School Diploma -
Olympia High School, Standford, IL