Summary
Overview
Work History
Education
Skills
Timeline
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De'Andria Mitchell

Glendale,AZ

Summary

Dynamic Claims Specialist with a proven track record at ABC Insurance Company, excelling in claims processing and customer service. Adept at data analysis and conflict resolution, I consistently ensured timely claim resolutions, enhancing customer satisfaction. Recognized for attention to detail and effective communication, I thrive in fast-paced environments.

Overview

15
15
years of professional experience

Work History

Claims Specialist

Isagenix International
04.2014 - 04.2025
  • Assessed and analyzed insurance claims according to established policies
  • Managed a caseload of claims, ensuring timely resolution and customer satisfaction
  • Collaborated with internal departments to investigate and verify claim information
  • Prepared and presented reports on claim status and trends
  • Followed up with customers on unresolved issues.
  • Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Facilitated smooth communication between claimants and adjusters, ensuring transparent and positive experience.
  • Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
  • Reduced fraudulent claims by implementing stringent verification processes, safeguarding company assets.

Customer Service Representative

Verizon
06.2012 - 03.2014
  • Provided prompt and courteous assistance to customers regarding their insurance policies
  • Processed customer inquiries, claims, and policy changes accurately
  • Effectively resolved customer complaints and issues
  • Maintained accurate and up-to-date customer records
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Responded to customer requests for products, services, and company information.
  • Participated in training programs to enhance product knowledge and customer service skills.

Claims Representative

Tungland Corp
02.2010 - 05.2012
  • Managed administrative tasks, including scheduling appointments and maintaining files
  • Assisted with document preparation and data entry
  • Coordinated meetings and events
  • Provided general support to the team
  • Developed in-depth understanding of insurance policies and procedures.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Reviewed and updated claim processing guidelines, ensuring alignment with industry standards.
  • Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
  • Maintained up-to-date knowledge of regulatory changes, ensuring company compliance and minimizing legal risks.

Education

High School Diploma -

Northern High School
Flint, MI

Bachelor of Science - Information Technology

University of Phoenix
Tempe, AZ
06-2027

Skills

  • Claims Processing
  • Customer Service
  • Data Analysis
  • Conflict Resolution
  • Communication Skills
  • Time Management
  • Attention to Detail
  • Microsoft Office Suite
  • Multitasking
  • Active listening
  • Teamwork skills

Timeline

Claims Specialist

Isagenix International
04.2014 - 04.2025

Customer Service Representative

Verizon
06.2012 - 03.2014

Claims Representative

Tungland Corp
02.2010 - 05.2012

High School Diploma -

Northern High School

Bachelor of Science - Information Technology

University of Phoenix

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