Dynamic Auto Claims Associate with proven expertise at State Farm in claims processing and customer relationship management. Recognized for critical thinking and attention to detail, efficiently resolving claims while ensuring regulatory compliance. Adept at navigating complex situations, delivering exceptional service, and maintaining high-quality standards in a fast-paced environment.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Auto Claims Associate
State Farm
Tempe, AZ
10.2023 - Current
Build relationships with customers over the phone in a fast-paced environment.
Resolve claims efficiently while managing the claims process from start to finish.
Determined coverage and liability based on interviews with customers, claimants, and witnesses.
Partner with appraisers and body shops to manage vehicle repairs.
Utilize critical thinking skills to gather and investigate information to make sound decisions.
Researched state laws related to automobile insurance coverage for legal compliance.
Drafted correspondence to inform customers about claim decisions or provide additional information as requested.
Processed payments for approved claims using established procedures while ensuring accuracy of data entry.
Patient Admitting Representative
John C Lincoln Hospital (Now HonorHealth)
Phoenix, AZ
08.2008 - 06.2012
Admitting registration forms and patient demographics are accurate and completed according to the specified guidelines, as demonstrated by maintaining a QA score of at least 95%.
Prepared admission packets containing all necessary forms for review by physicians.
Obtained signatures on consent forms, financial agreements, and other documents required for admission.
Verified patient information and insurance coverage to ensure accuracy.
Reviews and resolves financial problems of patients.
Research possible coverage. Collects deposits and makes payment arrangements prior to discharge.
Patients are educated regarding their rights, obligations, and policies, as demonstrated by documentation and feedback.
Document pertinent account activity in the Patient Accounting system.
Provides outstanding customer service, as demonstrated, by documentation and feedback.
Customer Service Representative
Chubb Insurance Company
Phoenix, AZ
01.2004 - 05.2007
Provided excellent customer service to resolve customer complaints in a timely manner.
Process incoming, new loss calls by properly obtaining appropriate claim information.
Provide initial service to the customers by explaining the claims process, initiating the damage appraisal, and arranging a rental car, if appropriate.
Resolve or answer routine problems and questions, and refer others to a unit leader or the appropriate unit.
Properly document all claim activity to support the outcome of the claim file.
Simultaneously, use multiple computer applications to enter the required claim information.
Comply with all internal and external reporting requirements.
Benefits Specialist
Principal Financial Group Inc
Phoenix, AZ
08.2001 - 10.2003
Ensures quality customer service for internal and external customers.
Resolve customer service inquiries, which could include benefit and eligibility information, billing and payment issues, customer material requests, and explanations of benefits (EOB).
Patterns with other billing and eligibility department representatives to resolve complex customer service inquiries.
Provide the very best customer service to internal and external customers.
Constantly meet established productivity, schedule adherence, and quality standards.
Recognizes when to refer complicated claim situations to the various areas, outside firms, and organizations.
Adapts procedures, processes, and techniques to meet the more complex position requirements.
Mail Clerk/Output Specialist
Hartford Insurance Group
Phoenix, AZ
08.1999 - 08.2001
Operation of high-level mail equipment: mail inserters, sorters, and finishing equipment in an automated high-speed/high-volume environment. Includes packaging and posting.
Deliver and pick up mail on scheduled runs inside an office building.
Perform other related support duties as requested, such as answering phones, processing mail, assisting customers, scanning, photocopying, and insurance check processing.
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm