Summary
Overview
Work History
Education
Skills
Timeline
AccountManager

Cinsere Hawkins

Claims specialist Representative
Centennial,CO

Summary

Experienced Claims Administer Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 3 years of experience and willingness to take on any challenge.

Overview

13
13
years of professional experience

Work History

Claim Specialist Representative

Hanover Insurance Group Inc.
Remote, Works From Home
12.2021 - Current

Followed up with customers on unresolved issues.

  • Escalated files with significant indemnity exposure to supervisor for further investigation.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Generated, posted and attached information to claim files.
  • Calculated adjustments, premiums and refunds.
  • Verified client information by analyzing existing evidence on file.
  • Modified, updated and processed existing policies.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Implemented improvements in manual and electronic billing procedures.

Payroll Specialist

RUST CONSULANT GROUP
09.2017 - 11.2021

• Verified and submitted timekeeping information for accurate and efficient payroll
processing.
• Performed calculations in overtime, vacation, and sick hours to provide accurate data to
payroll processing database.
• Calculated payroll deductions by accurately using SAP and processed payroll to meet
preset requirements.
• Researched payroll errors and processed payments for federal and state taxes, social
security, Medicare, and various employee deductions, annuity contributions and
retirement plan withholdings.
• Uploaded time records into computer system and made adjustments to create accurate
database for payroll processing functions.
• Managed payroll data entry and processing for 100-150 employees to comply with
predetermined company guidelines.
• Reviewed time records for 100-150 employees to verify accuracy of information.
09/2014

BDC SCHEDULING AGENT

MORRIES MINNETONKA
09.2014 - 09.2017

• Acted as first point of contact and set appointments for prospective clients.
• Established and maintained client rapport by utilizing quality customer service.
• Resolved concerns with products or services to help with retention and drive sales.
• Assisted customers by answering questions, responding to inquiries, and handling
telephone requests.
• Answered average of 100 calls and emails per day, addressing customer inquiries, solving
problems, and providing product information.
• Entered orders into computer database system.
• Promised best prices for tires, engine work etc. customer services and maintained accuracy
when determining quotes.
• Promoted superior experience by addressing customer concerns, demonstrating empathy,
and resolving problems swiftly.

Monitoring Specialist

Stanley Security
03.2010 - 09.2014

• Received incoming alarm system notification regarding emergency and non-emergency
situations and dispatched appropriate police, fire and ambulatory services to premises.
• Monitored and authorized entrance and departure of vehicles, cargo trucks and visitors.
• Monitored central alarm systems for fire, intrusion and duress alarms and responded to
several emergencies weekly.
• Responded to maintenance calls and troubleshot devices.

Education

University of Phoenix
Tempe, AZ
05.2024

Skills

  • Settlement determinations
  • Coverage assessments
  • Documentation review
  • Claims
  • Collaborative relationships
  • Prior authorization processing
  • Documentation abilities
  • Understanding of medical terms
  • Insurance coverage verification
  • Great mathematical skills
  • Data integrity
  • Account management
  • Reporting skills
  • Excellent Communication
  • Good Telephone Etiquette
  • Accident investigations
  • Excellent administrative abilities

Timeline

Claim Specialist Representative

Hanover Insurance Group Inc.
12.2021 - Current

Payroll Specialist

RUST CONSULANT GROUP
09.2017 - 11.2021

BDC SCHEDULING AGENT

MORRIES MINNETONKA
09.2014 - 09.2017

Monitoring Specialist

Stanley Security
03.2010 - 09.2014

University of Phoenix
Cinsere HawkinsClaims specialist Representative