Ashleigh Kilburn
South Windsor
Summary
Qualified Claims Analyst versed in investigating claims, verifying information and providing outcomes on pending claims. Friendly and upbeat team player with organized and disciplined approach. Offering 6 years of insurance experience.
Overview
14
14
years of professional experience
Work History
Claims Analyst
Travel Insured International
08.2017 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Worked with policyholders to verify information and obtain additional details.
- Followed up with customers on unresolved issues.
- Proposed settlements for uncomplicated issues to resolve claims.
- Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
- Checked documentation for accuracy and validity on updated systems.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Verified client information by analyzing existing evidence on file.
- Generated, posted and attached information to claim files.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Viewed reports regularly to make sure processing was conducted efficiently.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Researched claims and incident information to deliver solutions and resolve problems.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Analyzed information gathered by investigation and report findings and recommendations.
Server
Texas Roadhouse
02.2014 - 10.2017
- Increased sales significantly by upselling higher-end products to customers.
- Cultivated warm relationships with regular customers.
- Strategically timed check-ins with customers to take orders and confirm satisfaction with meals after delivery, taking action to correct any problems.
- Handled customer complaints with ease.
- Worked quickly with others in highly stressful situations.
Sales Associate
Belk
09.2009 - 08.2013
- Organized racks and shelves to maintain store visual appeal, engage customers and promote specific merchandise.
- Maintained customer satisfaction with quick and professional handling of product returns.
- Helped customers locate products and checked store system for merchandise at other sites.
- Answered customer questions regarding sizing, accessories and proper care for merchandise.
- Engaged with customers to effectively build rapport and lasting relationships.
- Increased sales by offering advice on purchases and promoting additional products.
Education
GED -
Windsor Public High School
Windsor, CT04.2017
Skills
- Team Collaboration
- Documentation Research
- Active Listening
- Conflict Resolution
- Policy Knowledge
- Time Management
- Document Uploading
- File Management
- Claims Adjustments
- Call Control
- Constructive Feedback
- Team Meetings
- Reminder Calls
- Claims Support
- Settlement Determinations
- Special Projects
- Production Goals
- Payment Method
- Customer Relationship Management
- Information Updates
- Coverage Determination
Accomplishments
Cross trained on phone support, linking/email, web to case and analyst work.
Champion on the five 9 project and the new salesforce including training the team, testing the product and working out bugs and problem solving.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Claims Analyst
Travel Insured International
08.2017 - Current
Server
Texas Roadhouse
02.2014 - 10.2017
Sales Associate
Belk
09.2009 - 08.2013
GED -
Windsor Public High School
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