Personable and positive with natural ability to connect with customers and resolve issues efficiently. Capable of understanding insurance policies and procedures, paired with strong analytical and communication skills. Dedicated to providing exceptional service and ensuring customer satisfaction through effective problem-solving. Developed essential customer service and problem-solving skills in insurance environment, consistently delivering high-quality support and satisfaction. Skilled in handling complex claims and resolving customer issues with efficiency and care. Looking to transition into new field, leveraging these skills to contribute to dynamic and supportive work environment.
Overview
11
11
years of professional experience
Work History
Claims Service Rep.
ABERCROMBIE SIMMONS & GILLETTE, INC.
05.2009 - 11.2011
Submit LS Forms
Open new claim
Work very closely with Adjusters
Submit appropriate paperwork to Insurance Companies for Worker Comp. Payments
Developed strong working relationships with clients, adjusters, and others in the claims process by maintaining open lines of communication and providing consistent updates on claim status.
Collaborated with adjusters to ensure accurate claim evaluations and settlements, improving overall efficiency.
Served as liaison between clients, adjusters, and other parties involved in the claims process to facilitate effective communication and timely resolutions
Arrange for Claimants therapy and transportation
Approve for payments to Transportation Companies
Review and Proof all legal documents to submit to Attorneys and Mutual Ins Companies
Help in the Mail Room
Scan and upload documents
Help translate with Spanish speaking claimants
Maintained thorough knowledge of company policies and insurance regulations, ensuring proper claim handling procedures were followed.
Adhered to strict confidentiality guidelines when handling sensitive client information, maintaining trust among clients and colleagues alike.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Calculated adjustments, premiums and refunds.
Prepare and have files ready for Attorneys Assistants to pick up
Keep very detailed notes on all files
Set and maintain scheduling of all adjusters calls between all claimants
Assistant to the President of the company and to 7 Federal Longshore Adjusters and 3 Property and Causality Adjusters
Handle all lines of claims for a variety of clients
Enhanced customer satisfaction by efficiently processing and resolving claims in a timely manner.
Provided exceptional customer service by addressing concerns, answering questions, and explaining complex policy information to clients.
Managed high-volume caseloads and prioritized tasks effectively to meet strict deadlines without compromising on quality or accuracy.
Receptionist/ Front End Manager
DYNATOUCH CORPORATION
09.2000 - 02.2009
In charge of front end
Asst. with web development
Put together web tips menus for Kiosk systems
Run payment for Government invoices
Asst with web content for many Army, Marine Corp, Air Force and Navy Bases
Proof and review information before begin posted on customers web sites
Asst. and work very closely with different departments within the company
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Handled sensitive information with discretion while maintaining strict confidentiality standards.
Managed multiple tasks and met time-sensitive deadlines.
Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
Assisted with planning office events and meetings for smooth execution.
Optimized resource allocation by managing inventory of office supplies and reordering as necessary.
Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Quick to learn and always involved
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Resolved customer problems and complaints.
Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
Confirmed appointments, communicated with clients, and updated client records.
Education
1 year college - Basic
San Antonio College
San Antonio, Texas
High School Diploma/GED -
Thomas Jefferson
San Antonio, Texas
Skills
Typing Speed: 60 Words Per Minute
Graphics/Drawing Software (Photoshop, etc)
Internet Browser (Netscape, IE, etc)
File management
Spreadsheet Software (Lotus, Excel, etc)
Word Processing Software (MS Word, etc)
Exceptional communication
Claim investigation
Professionalism and integrity
Decision-making
Workers compensation
Claims processing
Multitasking Abilities
Attention to detail
Personal Information
Typing Speed: 60 Words Per Minute
Occupationalexperience
10 to 14 years, 10 to 14 years, 10 to 14 years, 10 to 14 years, 10 years 0 months
Driverslicense
C, Standard Driver's License, Texas, P - Passenger