Brenda J. Hutchinson
Los Angeles,CA
Summary
Seasoned Insurance Claims Specialist with excellent planning and problem solving abilities. Offering 21 years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in a fast-paced, team oriented environment.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Claims Specialist
Acrisure, LLC
Los Angeles, CA
10.2001 - Current
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim.
- Compiled data from multiple sources for reporting purposes.
- Interpreted legal documents related to claims processing such as contracts and policy language.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
- Communicated with other departments to establish action plans and manage open claims to closure.
Claims Representative
M.H. Ross Company
Los Angeles, CA
07.1988 - 10.2001
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
- Ensured timely submission of required documentation from claimants prior to approval of payment.
- Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
- Attended continuing education seminars related to insurance industry best practices and new legislation.
- Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Verified details with policyholders and requested additional information.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
Education
High School Diploma -
John F. Kennedy High School
Granada Hills, CASkills
- Documentation Review
- Verbal Communication
- Policy Interpretation
- Claims Processing
- Microsoft Office
- Insurance knowledge
- Insurance Claim Forms Review
- Data Entry
- Customer Service
- Client Interviews
- Teamwork and Collaboration
- Paperwork Processing
- Problem-solving abilities
- Reporting skills
- Problem-Solving
- Analytical Thinking
- Goal Setting
- Time management abilities
- Written Communication
- Active Listening
- Attention to Detail
- Background in insurance
- Composing Business Correspondence
- Secure data practices
- Decision-Making
- Team Collaboration
- Multitasking
- Interpersonal Communication
- Effective Communication
- Documentation abilities
- Interpersonal Skills
- Business Correspondence
- Appointment Scheduling
- Professional Demeanor
- Continuous Improvement
- Time Management
- Excellent Communication
- Critical Thinking
- Documentation skills
Affiliations
- I am very family oriented and thoroughly enjoy spending time with my husband, children and grandchild.
- I have a passion for traveling and weekend excursions.
- I enjoy Crafting and utilizing my creative abilities.
- Baking and Cooking is a great therapeutic outlet for me, while my family and friends love the benefits, as well.
Certification
- Resident Insurance Producer - License # OA60205 - {Current}
- Casualty Broker-Agent | Property Broker-Agent
- Issued Date: 12/18/1990
References
References available upon request.
Timeline
Claims Specialist
Acrisure, LLC
10.2001 - Current
Claims Representative
M.H. Ross Company
07.1988 - 10.2001
High School Diploma -
John F. Kennedy High School
- Resident Insurance Producer - License # OA60205 - {Current}
- Casualty Broker-Agent | Property Broker-Agent
- Issued Date: 12/18/1990
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