Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
23
23
years of professional experience
Work History
Claims Rep III
Anthem
Wallkill, United States
02.2002 - Current
Managed asset recoveries for claims, including salvage and subrogation.
Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
Corresponded with insured or agent to obtain information or inform of account status or changes.
Reviewed documentation and accounts to gain full picture.
Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
Assisted new policyholders with processing claims.
Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
Processed claims for payment or forwarded to appropriate personnel for further investigation
Verified details with policyholders and requested additional information.
Organized information by using spreadsheets, databases or word processing applications.
Checked documentation for appropriate coding, catching errors and making revisions.
Handled modification and updating of policies.
Coordinated and planned investigations of claims to confirm compensability and coverage.
Precisely calculated refunds, premiums and adjustments.
Prepared and reviewed insurance-claim forms and related documents for completeness.
Examined claims, records and procedures to grant approval of coverage.
Collaborated with fellow team members to manage large volume of claims.