Work Preference
Summary
Overview
Work History
Education
Skills
Education And Licenses
Certification
Timeline
Generic
Open To Work

Cheryl Ishman-Harris

Jacksonville

Work Preference

Job Search Status

Open to work

Work Type

Full Time

Location Preference

HybridRemoteOn-Site

Summary

Detail-oriented insurance professional specializing in P&C claims and underwriting support with a strong background in life and health insurance operations. Expertise in FNOL intake and legal correspondence, ensuring organized documentation and efficient communication among adjusters, attorneys, and policyholders.

Overview

29
29
years of professional experience

Work History

Insurance Claims & Underwriting Support Specialist

Carolina Casualty / W.R. Berkley
Jacksonville
12.2022 - Current
  • Manage daily workflows for bodily injury and property damage claims in a fast-paced, multi-state environment.
  • Enter FNOL and maintain claim files in Guidewire Claims Center with exceptional accuracy.
  • Process legal correspondence (letters of representation, attorney notices, subpoenas) with 100% deadline compliance.
  • Prepare underwriting transactions including cancellations, reinstatements, and non-renewals.
  • Facilitated communication among insureds, claimants, attorneys, and internal teams to ensure clarity and resolution.
  • Coordinated with claims department to resolve policyholder inquiries, enhancing customer satisfaction.
  • Review, code, and route invoices for payment; maintain audit-ready documentation.
  • Organized electronic files and maintained audit documentation to support seamless workflow.

Business Office Manager & Licensed Agent

Western & Southern Life Insurance
Jacksonville
06.2013 - 12.2022
  • Directed daily office operations and client services, optimizing administrative workflows.
  • Enhanced customer satisfaction by resolving issues quickly and accurately.
  • Trained and supervised financial representatives and clerical staff, improving onboarding processes.
  • Ensured compliance in policy administration and financial documentation.
  • Improved filing and record-keeping systems through structured organization.

Complaint & Appeal Analyst

Aetna
Jacksonville
04.2011 - 12.2012
  • Applied regulatory knowledge to achieve compliant resolutions for complex cases.
  • Managed high volumes of electronic complaints, ensuring adherence to accreditation standards and improving response times.
  • Investigated member/provider complaints and appeals, coordinating cross-department efforts to ensure timely resolutions.

Customer Service & Claims Consultant

Aetna
Jacksonville
08.1997 - 04.2011
  • Guided members, providers, brokers, and agents through benefits and claims processes, ensuring clarity and understanding of coverage.
  • Processed medical claims accurately and conducted thorough investigations to uphold compliance and accuracy.
  • Trained new employees on claims procedures and company policies to enhance team knowledge and service delivery.

Education

Associate of Science - Computer Programming

Florida Community College of Jacksonville
Jacksonville, Florida
08-1981

Skills

  • Guidewire ClaimsCenter expertise
  • Insurance claims systems proficiency
  • Claims processing
  • Policy servicing
  • Data entry accuracy
  • Document management
  • Electronic recordkeeping
  • Microsoft Office suite
  • Multi-line phone systems
  • Professional correspondence

Education And Licenses

  • Licensed Independent Insurance Adjuster, Florida
  • Computer Programming, Florida Community College of Jacksonville

Certification

  • Dale Carnegie Leadership Training
  • Licensed Claims Adjuster
  • AI Training

Timeline

Insurance Claims & Underwriting Support Specialist

Carolina Casualty / W.R. Berkley
12.2022 - Current

Business Office Manager & Licensed Agent

Western & Southern Life Insurance
06.2013 - 12.2022

Complaint & Appeal Analyst

Aetna
04.2011 - 12.2012

Customer Service & Claims Consultant

Aetna
08.1997 - 04.2011

Associate of Science - Computer Programming

Florida Community College of Jacksonville
Cheryl Ishman-Harris