ANTANISHA MARTIN
Sun City Center,FL
Summary
Detail-oriented claims specialist driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting
points of view.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Bodily Injury Claims Adjuster
State Farm
07.2022 - 02.2024
- Investigate, evaluate, and settle insurance claims.
- Determine whether insurance policy covers loss claimed.
- Decide appropriate amount insurance company should pay.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Collect Recorded statement information from customers to complete claims and legal files.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Contact claimant's doctors or employers to get additional information on questionable claims.
Remote/ Customer Care Representative
First Advantage
01.2020 - 07.2022
- A level 2 background screen checks applicants against databases of information on arrests, convictions, and incarceration related to violent behavior and crimes etc.
- Optimize background reports for employment etc.
- To conduct a background screening analyst, my job is to conduct a background check and investigate potential situations of fraud
- pull up an individuals report, record your findings, and perform research to learn more about them to meet employment standards.
- IT assistance, Assist Candidates with unlocking and resetting passwords to Background portal and some troubleshooting.
Remote/ Sr Customer Service Representative/ Billing Specialist
Terminix
12.2016 - 01.2020
- Handles and resolves escalated or sensitive customer service calls for service, scheduling, and billing inquiries/issues
- Collaborates with various internal departments to resolve challenging customer issues
- Determines the cause of the problem
- Selects and explains the best solution to solve the problem
- Expedites correction or adjustments and follows up to ensure resolution
- Provides backup support for National Accounts during peak call volume periods, weekends, and holidays
- Communicates with branch personnel to resolve service and scheduling issues
- Assists with email correspondence
- Cultivates and maintains on-going customer and branch relationships
Logistics Specialist/ Dispatcher
Quest Diagnostics
02.2016 - 05.2018
- Logistics Specialist/Dispatcher Note Take clients account, assist clients with their daily routine pick up’s, plan routes for the drivers, send out emails using Microsoft Outlook, create spreadsheets using Excel, handling, 100 calls per day. Resolving clients and driver issues.(contracted position)
- Responding to emails, teams, chats and technical support
Sr. Customer Service Representative
Florida Blue Health Insurance
11.2014 - 02.2016
- Assist employer, employees, brokers, and account Managers with cobra services, Payment, website, research and resolve issues
- Handling 100+calls per day
- Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding
Education
High School Diploma -
East Bay Senior High
01.2009
Skills
- Licenses Insurance Adjuster
- Strong Organization Skills
- Detailed Oriented
- Investigation Skills
- Claims handling
- Data collection and analysis skills
- Auto claims/ Property Claims
- Excellent cluster service skills
- Underwriting
- Critical thinking
- Quality control
- Settlement determinations
- Documentation review
- Accident investigations
- Secure data practices
- Regulatory compliance understanding
- Technical Troubleshooting
- Hardware diagnostics
- Customer support needs assessment
- MS Office And Excel proficiency
Certification
- Licensed Adjuster 6-20
Timeline
Bodily Injury Claims Adjuster
State Farm
07.2022 - 02.2024
Remote/ Customer Care Representative
First Advantage
01.2020 - 07.2022
Remote/ Sr Customer Service Representative/ Billing Specialist
Terminix
12.2016 - 01.2020
Logistics Specialist/ Dispatcher
Quest Diagnostics
02.2016 - 05.2018
Sr. Customer Service Representative
Florida Blue Health Insurance
11.2014 - 02.2016
High School Diploma -
East Bay Senior High