Summary
Overview
Work History
Education
Skills
Timeline
Generic

Carol Heller

Baxley,GA

Summary

Friendly insurance professional experienced in investigating and processing insurance claims. Hardworking and communicative individual excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

18
18
years of professional experience

Work History

Claims Specialist I Teleworker

AFLAC
09.2006 - Current
  • Reviewed insurance and claims documents to verify required information and secure any missing data for claim processing.
  • Followed up with customers on unresolved issues.
  • Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
  • Posted payments to accounts and maintained records.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.

Claims Support Specialist II

AFLAC
10.2005 - 09.2006
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Analyzed and addressed escalated claims to resolve issues quickly.
  • Processed wellness claims for different lines of business.

Education

Business Office Technology - Business Administration

Altamaha Technical College
Jesup, GA
06.2004

Computer Information Systems - Business Administration

Altamaha Technical College
Jesup, GA
12.2002

Associate of Arts - Business Administration

Brewton Parker College
Mt. Vernon, GA
06.1998

Skills

  • Secure Data Practices
  • Active Listening
  • Insurance Industry Experience
  • Customer Satisfaction
  • Fraud Detection
  • Microsoft Office
  • Production Goals
  • Claims
  • Excellent Administrative Abilities
  • Insurance Terminology
  • Team Meetings

Timeline

Claims Specialist I Teleworker

AFLAC
09.2006 - Current

Claims Support Specialist II

AFLAC
10.2005 - 09.2006

Business Office Technology - Business Administration

Altamaha Technical College

Computer Information Systems - Business Administration

Altamaha Technical College

Associate of Arts - Business Administration

Brewton Parker College
Carol Heller