Summary
Overview
Work History
Education
Skills
Timeline
Generic

Denise Banks

Neptune City,NJ

Summary

Dynamic professional with a proven track record, excelling in customer service and problem-solving. Achieved high satisfaction ratings by effectively managing complex claims and fostering teamwork. Skilled in negotiating settlements and analyzing insurance policies, consistently driving positive outcomes and enhancing client relationships.

Overview

39
39
years of professional experience

Work History

Sales Associate

Kohls Department Store
Ocean Township New Jersey
09.2021 - Current
  • Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
  • Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
  • Built relationships with customers to encourage repeat business.
  • Managed returns, exchanges and refunds in accordance with store policy.
  • Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
  • Prepared merchandise for sales floor by pricing or tagging.
  • Helped customers locate products and checked store system for merchandise at other sites.
  • Answered customer questions about sizing, accessories, and merchandise care.
  • Provided positive first impressions to welcome existing, new, and potential customers.
  • Rotated stock and restocked shelves to maintain product availability and store appearance.
  • Engaged with customers to build rapport and loyalty.
  • Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
  • Solved customer challenges by offering relevant products and services.
  • Accurately processed POS transactions, returning coin, currency, payment cards, and receipts to customers.
  • Collaborated with team members to improve overall store performance, sharing best practices, and offering support as needed.
  • Increased sales revenue by building strong rapport with customers and recommending appropriate products based on their needs.
  • Educated clients on current promotional offerings and products using persuasive selling tactics.
  • Assessed customer needs and utilized suggestive selling techniques to drive sales.
  • Engaged with customers to effectively build rapport and lasting relationships.
  • Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
  • Minimized wait times for customers during peak hours, maintaining a high level of customer satisfaction.
  • Achieved monthly sales targets consistently by implementing effective sales strategies and maintaining a high level of product knowledge.
  • Developed new client relationships by actively engaging with potential customers and highlighting the benefits of our product offerings.
  • Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
  • Managed conflict resolution with dissatisfied customers professionally, resulting in improved customer retention rates.
  • Participated in team meetings and training sessions regularly for continuous professional development within the retail industry.
  • Provided personalized shopping experiences for repeat customers by remembering their preferences and offering tailored recommendations.
  • Collaborated with team members to achieve monthly sales targets.
  • Contributed to positive shopping environment by maintaining organized and welcoming store appearance.
  • Enhanced store revenue by consistently exceeding personal sales targets through effective customer engagement and product knowledge.
  • Increased customer loyalty with personalized shopping experiences and attentive service.
  • Provided training to new staff on sales techniques and store procedures, ensuring consistent customer service experience.
  • Stocked merchandise, clearly labeling items, and arranging according to size or color.
  • Engaged in friendly conversation with customer to better uncover individual needs.
  • Listened to customer needs and desires to identify and recommend optimal products.
  • Performed cash, card, and check transactions to complete customer purchases.

Market Regulation Specialist

State of New Jersey Department of Banking and Insurance
Trenton, NJ
07.1990 - 04.2020

Conducted insurance fraud investigations on behalf of all insurance companies conducting business in the state in accordance with all New Jersey state regulation statutes. Acted as team lead while Auditing fraud plans submitted by companies doing business in New Jersey. Also traveled to conduct onsite audits. Conducted on-site market conduct examinations, including policies, claim file reviews to confirm adherence to state regulations. Made recommendations for corrections when necessary. Completed market conduct reports and submitted to the Department for approval. Analyzed and submitted reports on insurance companies business practices related to adjudicating and denying claims, identified and conducted analysis of market trends, submitted reports to the Department for approval.

Claims Adjuster

Hanover Insurance Group Inc.
Neptune City, NJ
09.1988 - 07.1990
  • Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
  • Prepared summaries of damage, payments, and policy coverage.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
  • Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
  • Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Answered customer questions regarding deductibles.
  • Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
  • Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
  • Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
  • Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
  • Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after an incident.
  • Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
  • Provided exceptional customer service, addressing concerns, and answering questions promptly.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Directed claims negotiations within allowable limit of $Amount and supported successful litigations for advanced issues.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Identified suspicious losses and contacted manager for investigative assistance.
  • Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
  • Followed up on potentially fraudulent claims initiated by claims representatives.

Claims Adjuster

Allstate Insurance Company
Brick NJ
09.1986 - 09.1988
  • Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
  • Evaluated original investigation reports and documents to resolve secondary concerns.
  • Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
  • Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
  • Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
  • Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
  • Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Answered customer questions regarding deductibles.
  • Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
  • Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
  • Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
  • Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Provided exceptional customer service, addressing concerns, and answering questions promptly.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Identified suspicious losses and contacted manager for investigative assistance.
  • Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
  • Followed up on potentially fraudulent claims initiated by claims representatives.

Education

Bachelor of Arts -

Rutgers University
New Brunswick, NJ

Skills

  • Customer service
  • Teamwork and collaboration
  • Time management
  • Problem-solving skills

Timeline

Sales Associate

Kohls Department Store
09.2021 - Current

Market Regulation Specialist

State of New Jersey Department of Banking and Insurance
07.1990 - 04.2020

Claims Adjuster

Hanover Insurance Group Inc.
09.1988 - 07.1990

Claims Adjuster

Allstate Insurance Company
09.1986 - 09.1988

Bachelor of Arts -

Rutgers University