DEBRA MITCHELL
Roselle,NJ
Overview
12
12
years of professional experience
Work History
Agent Services Representative
Aflac
Point Pleasant, NJ
07.2023 - Current
- Reviewed insurance policies periodically to make sure they meet customer needs
- Developed a customer service strategy to ensure the highest level of satisfaction
- Processed applications and paperwork related to policy issuance or renewal
- Generated leads through cold calling, networking, referrals, and other marketing initiatives
- Explained coverage options to potential policyholders, answering questions or concerns.
Worker Compensation Claims Coordinator
EB Cohen & Associates Assurance Agency
Roseland, NJ
09.2021 - 07.2023
- Completed required investigations on referred files within established timeframes
- Input claim information and payments into company database
- Displayed strong telephone etiquette, effectively handling difficult calls
- Maintained detailed documentation of all activities related to assigned cases including correspondence, research notes, investigative reports and settlement agreements
- Coordinated activities between defense counsel and other departments within the company.
Workers' Compensation Litigation Adjuster
New Jersey Property Liability Ins. Guaranty Assoc.
Basking Ridge, NJ
05.2017 - 08.2021
- Researched statutes, regulations and other legal materials in order to identify potential defenses against claims
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability
- Input claim information and payments into company database
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Communicate with Defense counsel with legal litigations cases.
PIP No-Fault Arbitration Adjuster
New Jersey Property Liability Ins. Guaranty Assoc.
Basking Ridge, NJ
02.2013 - 08.2021
- Analyzed policy provisions, legal documents and medical records
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control
- Monitored litigation status through arbitration filings or contact with attorneys
- Gathered and documented evidence to support arbitration proceedings
- Negotiated and settled claims according to information presented through reports, research, and data verification
- Communicate with defense counsel on claims involving litigation.
PIP No-Fault Adjuster
Progressive Insurance Companies
Iselin, NJ
03.2012 - 12.2012
- Adhered to HIPAA regulations while managing confidential patient information.
- Responded promptly to customer inquiries regarding claims and payment status updates.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Maintained accurate records of all claim activities for audit purposes.
- Assisted claimants, providers and clients with pre-cert questions regarding claims.
Education
License - Health & Accident And Life Ins.
XCEL Solutions
Online03-2018
Associate of Applied Business - Business Management
Essex County College
Newark, NJ12.2011
Certificate - Property Damage And Homeowners Ins.
Atlantic School For Insurance
09-2003
Timeline
Agent Services Representative
Aflac
07.2023 - Current
Worker Compensation Claims Coordinator
EB Cohen & Associates Assurance Agency
09.2021 - 07.2023
Workers' Compensation Litigation Adjuster
New Jersey Property Liability Ins. Guaranty Assoc.
05.2017 - 08.2021
PIP No-Fault Arbitration Adjuster
New Jersey Property Liability Ins. Guaranty Assoc.
02.2013 - 08.2021
PIP No-Fault Adjuster
Progressive Insurance Companies
03.2012 - 12.2012
License - Health & Accident And Life Ins.
XCEL Solutions
Associate of Applied Business - Business Management
Essex County College
Certificate - Property Damage And Homeowners Ins.
Atlantic School For Insurance