Blair Samec

• Conducted outbound calls and managed incoming calls for effective communication flow.
• Gathered critical estate information and communicated with representatives about claims.
• Accurately documented accounts with appropriate transaction codes in files.
• Negotiated payment terms and tracked follow-up actions for compliance.
• Provided confirmation and settlement letters as needed for client assurance.
• Responded daily to all voicemail messages, ensuring customer service standards were met.
• Notated files with comprehensive estate information to assist in processing.

• Investigated enrollment and billing discrepancies, contributing to process improvements.
• Managed extensive communications from Plan Administrators and Brokers for Group and Voluntary products efficiently.
• Clarified LTD and STD claim policy provisions in response to inquiries received.
• Coordinated with claims specialist to resolve STD and LTD claim status issues and appeals effectively.
• Requested supplementary information from Plan Administrators for comprehensive claims assessment.
• Escalated urgent discrepancies or concerns to facilitate timely resolutions.
• Operated multiple systems concurrently, optimizing response time during correspondence.
• Participated actively with team across platforms to enhance collaboration.

Managed high volume of calls, utilizing active listening and complex problem-solving skills for Group products including Life, ADED, STD, and LTD.

Initiated intake process for STD, LTD, and FMLA claims efficiently.

Provided assistance to employees regarding claims status and appeals post-processing.

Contacted physicians to obtain medical records and certification paperwork for claim verification.

Navigated multiple systems simultaneously during each call to enhance efficiency.

Collaborated with team members across various platforms to maintain engagement with peers and management.

Served as a Change Champion in adapting to evolving policies and procedures.

• Generated loans using sound judgment aligned with risk assessment and company policies.
• Documented information accurately while performing data entry tasks efficiently.
• Navigated computer systems to access and manage vital data effectively.
• Greeted guests promptly, ensuring exemplary customer service and satisfaction.
• Promoted and marketed business offerings through online platforms and verbal communication.