A highly organized and detail-oriented professional seeking a challenging position as a Claims Specialist, utilizing five years of claims experience and three years of administrative support.
Strong background in claims processing, including intake, documenting, and processing claims accurately and efficiently
Proficient in managing and organizing claim files and documentation for various insurance policies
Skilled in analyzing and investigating claims, identifying potential fraud, and determining appropriate coverage and liability
Highly effective in communicating with clients, agents, and other stakeholders to obtain necessary information and resolve claim-related issues
Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and claim management software
Exceptional organizational and time-management skills, with a demonstrated ability to meet deadlines and manage multiple tasks simultaneously
Proven ability to handle sensitive and confidential information with discretion and professionalism
Overview
17
17
years of professional experience
Work History
Claims Specialist
GEICO
01.2019 - Current
Evaluate and process insurance claims, ensuring accuracy, completeness, and compliance with company policies and procedures
Investigate and analyze claims, reviewing relevant documentation and interviewing involved parties to assess eligibility, coverage, and liability
Collaborate with other departments, including underwriting, legal, and risk management, to determine appropriate actions and resolutions
Communicate with policyholders, agents, and external parties to obtain additional information, clarify policy terms, and provide claim and payment status updates
Identify potential fraudulent claims, escalating suspicions to the Special Investigation Unit and assisting with investigations when required
Maintain organized claims files, document processes, and update claim management system with accurate and current information
Ensure timely resolution of claims by adjudicating in accordance with company guidelines, state regulations, and industry best practices.
Administrative Assistant
GEICO
01.2020 - 01.2021
Provided comprehensive administrative support to the executive team, including calendar management, travel arrangements, and expense reporting
Coordinated and organized meetings, conferences, and special events, including logistics, materials preparation, and on-site support
Produced high-quality documents, reports, and presentations using Microsoft Office Suite, ensuring accuracy and adherence to company standards
Managed incoming and outgoing correspondence, including screening emails and phone calls, prioritizing tasks, and drafting responses
Handled sensitive and confidential information with utmost discretion, maintaining confidentiality and adhering to data protection protocols
Assisted with subpoena and legal document handling, ensuring timely responses and accurate information retrieval
Maintained electronic and physical filing systems, optimizing efficiency and accessibility of documents and records.
Assistant Department Manager
Publix
01.2014 - 01.2016
Assisted management in overseeing daily operations and functions
Ensuring tasks and goals are met
Handled employee scheduling, training, and development