Summary
Overview
Work History
Education
Skills
Timeline
Generic

Crystal Atkins

Lakeland,FL

Summary

Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards. Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering over 9 plus years of insurance experience. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Experienced Bodily Injury/Uninsured Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering over plus years of experience and willingness to take on any challenge.

Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate Injury Tools, Microsoft and more systems. Effective at operating within State and Federal regulations and Department of Insurance department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Adjuster/Customer Service position. Ready to help team achieve company goals.

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

17
17
years of professional experience

Work History

Commercial Claims Rep

Progressive
04.2022 - 01.2023
  • Examined reports, accounts, and evidence to determine integrity and accuracy of information.
  • Analyzed and addressed escalated claims to resolve issues quickly.
  • Maintained accurate and up-to-date records of claim information for future reference.
  • Facilitated prompt payment of approved claims by liaising with finance department to ensure smooth transaction processing.
  • Negotiated favorable settlements with claimants, resulting in cost savings for the company.
  • Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Demonstrated expertise in interpreting policy language accurately, leading to better-informed decisions on coverage application during claims evaluation.

Claims Adjuster

GEICO
01.2013 - 03.2020
  • JOB DUTIES REQUIRED THE INVESTIGATION, ANALYZING, AND DETERMINING THE PROXIMATE CAUSE, COMPARATIVE NEGLANCE IF ANY, AND THE EXTENT OF INSURED'S LIABILITY CONCERNING PERSONAL, CASUALTY, OR PROPERTY LOSS OR DAMAGES, AND ATTEMPT REACH AN AMICABLE RESOLUTION.

Claims Adjuster

GEICO
06.2013 - 01.2020
  • AS A CLAIM SUPERVISOR MANAGES INSURANCE CLAIMS REPRESENTATIVES AND ENSURES ACCURATE REPORTING OF CLAIMS FOR PERSONAL, CASUALTY, OR PROPERTY LOSS OR DAMAGES; REVIEWS CLAIMS REP'S ANALYSES OF THE EXTENT OF THE INSURANCE COMPANY'S LIABILITY; TRIES TO NEGOTIATE OUT-OF-COURT SETTLEMENTS WITH THE CLIENT, WHERE POSSIBLE.
  • Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
  • Visited customer locations to evaluate damage and provided cost estimates for remediation.
  • Directed and coordinated various investigations conducted by field investigation team.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Established productive working relationships with public officials and law enforcement officers.

The Life
01.2010 - 01.2012
  • Is Good Store
  • Responsible for all employees on shift, count all monies, handle all deposits, answer multiline phones, send and receive faxes, use computer programs such as Word, Office, Excel, Photoshop, and PowerPoint, Receive and send all shipments, Count, maintain, and organize all inventory, open and close store, access to security codes and safe
  • More responsibilities may include but isn't limited to Processing all orders online, in store, and over the phone.

Spanky's Pizza Gallery
01.2008 - 01.2010
  • Prepare all orders for customers
  • Provide excellent customer service for a fast pace restaurant
  • Open and close work area

Hillcrest Inc
01.2006 - 01.2008
  • An experienced Litigation Examiner and Claims Supervisor seeking a position that offers longevity, stability, and opportunity to advance
  • Seeking customer service employment

Education

Bachelor of Science - Criminal Justice

Savannah State University
12.2012

Skills

  • Management
  • Sales
  • Communication
  • Leadership
  • Negotiation
  • Writing Skills
  • Time Management
  • Interviewing
  • Event Planning
  • Microsoft Excel
  • Research
  • Conflict Management
  • Microsoft Powerpoint
  • Fraud
  • Customer service
  • Organizational skills
  • Google Suite Proficiency
  • Customer Service
  • Patient contact
  • Claims Processing
  • Critical Thinking
  • Data Integrity
  • 10-Key Touch
  • Document Control
  • Database Management
  • Account Management
  • Client Interviews
  • Business Correspondence
  • Large-Sum Computations
  • Insurance Claims Review
  • Paperwork Processing
  • Collaborative relationships
  • Insurance Claim Forms Review
  • Teamwork and Collaboration
  • Policy understanding
  • Attention to Detail
  • Financial Transactions
  • Appointment Scheduling
  • Prior authorization processing
  • Medicaid knowledge
  • Insurance Coverage Verification
  • Active Listening
  • Information Verification
  • Records Management
  • Organizing and Prioritizing Work
  • Policy analysis
  • Accident Investigations
  • Conflict Resolution
  • Documentation processing
  • Policy Knowledge
  • Settlement determinations
  • Payment and Investigation Escalations
  • Composing Business Correspondence
  • Decision-Making
  • Microsoft Office
  • Denied claims identification
  • Settlement Negotiation
  • Medical Terminology
  • Supervision and leadership
  • Task Prioritization
  • Calm Under Pressure

Timeline

Commercial Claims Rep

Progressive
04.2022 - 01.2023

Claims Adjuster

GEICO
06.2013 - 01.2020

Claims Adjuster

GEICO
01.2013 - 03.2020

The Life
01.2010 - 01.2012

Spanky's Pizza Gallery
01.2008 - 01.2010

Hillcrest Inc
01.2006 - 01.2008

Bachelor of Science - Criminal Justice

Savannah State University
Crystal Atkins