Anahis Sampson
Glen Allen,VA
Summary
Detail-oriented, results driven Claims Specialist with a background in customer service, conflict resolution, and loss minimization. Reputation for going above and beyond, able to work in fast paced environments, projects focused, and a dedication to accuracy. Proven skills in conflict resolution and execution, managing multiple accounts, and improving workflows in any work environment. Motivate and achieve maximum productivity and quality excellence.
Overview
11
11
years of professional experience
Work History
Claims Management Specialist
2-10 Homebuyers Warranty
05.2022 - Current
- Process and investigate claims in order to follow up on missing information to complete processing
- Make well-informed financial claims coverage decisions in adherence to service agreements
- Authorize payments for approved claims and promptly resolve any outstanding issues with clients
- Meet compliance regulations based on company policies and procedures
- Inform customers of coverage and obligations under warranty service agreements
Insurance Claim Examiner
Allianz Partners
08.2021 - 05.2022
- Provided outstanding customer service and dispute resolution
- Met compliance regulations based on company policies and procedures
- Informed customers of coverage and obligations under warranty service agreement
- Successfully authorized high value claims by researching and addressing unresolved issues with contractors, suppliers, and homeowners
- Consistently maintained high level of accuracy, resulting in high claim approval rate
Certified Nursing Assistant
Reliable Home Care
07.2019 - 08.2021
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Maintained clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Collaborated with nursing staff to create individualized care plans tailored to each patient's needs.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
Claims Intake Coordinator
Capital One
10.2016 - 07.2019
- Maintained quality control/satisfaction records, while constantly seeking new ways to improve customer service
- Resolved issues with products and services by clarifying customer's complaints and escalating when appropriate
- Preformed as backup in ACH wire, ACH origination, ACH exception processing, online banking, wire fraud review and wire transfer processing
- Compiled reports on overall customer satisfaction and improved process for better customer experience
- Streamlined intake process by implementing efficient data collection and organization methods.
Office Manager
East Coast Safe & Lock
11.2012 - 10.2016
- Responded to emails and other correspondence to facilitate communication and enhance business process
- Maintained and tracked office supply inventory to ensure team members were equipped to deliver timely
- Prepared vendor invoices and processed incoming payments while maintaining good working relationships with vendors
- Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls, and scheduling appointments
- Updated reports, managed accounts, and generated reports for company database.
Education
High School Diploma -
John Randolph Tucker High School
Richmond, VA06.2011
Skills
- Claims Processing
- Microsoft Office
- Negotiate Pricing
- Organizational Skills
- Customer Service
- Judgement Skills
Timeline
Claims Management Specialist
2-10 Homebuyers Warranty
05.2022 - Current
Insurance Claim Examiner
Allianz Partners
08.2021 - 05.2022
Certified Nursing Assistant
Reliable Home Care
07.2019 - 08.2021
Claims Intake Coordinator
Capital One
10.2016 - 07.2019
Office Manager
East Coast Safe & Lock
11.2012 - 10.2016
High School Diploma -
John Randolph Tucker High School
Similar Profiles
Tiffany DillardTiffany Dillard
Enrollment Underwriter II-Remote at 2-10 Homebuyers WarrantyEnrollment Underwriter II-Remote at 2-10 Homebuyers Warranty
Deborah DudleyDeborah Dudley
Claims Specialist III at 2-10 Home Buyers WarrantyClaims Specialist III at 2-10 Home Buyers Warranty
Rochelle JonesRochelle Jones
Inbound Claims Management Supervisor at 2-10 Home Buyers WarrantyInbound Claims Management Supervisor at 2-10 Home Buyers Warranty