Beatriz Rubio
Auburndale,FL
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
Overview
13
13
years of professional experience
Work History
PIP Response Demand Examiner
GEICO
05.2019 - Current
- Review and determine relatedness to medical billing, verify bill denials for accuracy, ensure that payments were issued from the correct exposures/reserve lines
- Review claims for validity and accuracy of EUO or IME denials for interested parties
- Review and prepare timely and accurate PIP demand responses
- Review and issue timely and accurate payments for PIP demands
- Utilize reference materials to determine correct handling procedures for current litigated issues that are demand specific
PIP & Liability Claims Adjuster
GEICO
02.2016 - 04.2019
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
Subrogation Specialist
GEICO
05.2013 - 01.2016
- Analyzed information gathered by investigation and reported findings and recommendations.
- Participated in cross-functional team meetings to share insights and collaborate on strategies for maximizing recovery efforts.
- Negotiated settlements with responsible parties, securing favorable outcomes for clients.
Claims Representative Trainer
GEICO
05.2012 - 04.2013
- Developed and implemented strategies to improve claim processes.
- Generated, posted and attached information to claim files.
- Conducted thorough research on industry trends, enabling proactive adjustments to internal processes as needed for improved performance.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Claims Account Receivable
Geico
02.2011 - 04.2012
- Monitored customer accounts to insure checks cashed in timely manner.
- Refined existing processes to optimize accounts receivable and collection efforts.
- Supported internal audit processes, providing documentation and clarification as needed for timely completion of audits.
- Researched billing errors and discrepancies to initiate corrective action.
- Reconciled accounts receivable ledger to account for and properly post payments.
Education
High School Diploma -
Winter Haven Senior High School
Winter Haven, FL05.2003
Skills
- Time management
- Problem-Solving Skills
- Ability to work on own accord and in team environment
- Time management
- Data Entry
- Attention to detail
- Effective communication skills in English and Spanish
Languages
Spanish
Native or Bilingual
Timeline
PIP Response Demand Examiner
GEICO
05.2019 - Current
PIP & Liability Claims Adjuster
GEICO
02.2016 - 04.2019
Subrogation Specialist
GEICO
05.2013 - 01.2016
Claims Representative Trainer
GEICO
05.2012 - 04.2013
Claims Account Receivable
Geico
02.2011 - 04.2012
High School Diploma -
Winter Haven Senior High School
Similar Profiles
Sulma GutierrezSulma Gutierrez
Customer Sales Representative at GEICOCustomer Sales Representative at GEICO
Christopher PlantenyChristopher Planteny
Claims Adjuster at GEICOClaims Adjuster at GEICO
Juanita DarrellJuanita Darrell
Claims Adjuster at GeicoClaims Adjuster at Geico
Amanda JacobyAmanda Jacoby
Customer Service Representative at GEICOCustomer Service Representative at GEICO
Emanda TychewiczEmanda Tychewicz
Lead Server / Banquet Coordinator / Supervisor / Bartender / Trainer / Staff Development at Lakeside GrillLead Server / Banquet Coordinator / Supervisor / Bartender / Trainer / Staff Development at Lakeside Grill