Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Denisse Gallegos

Bakersfield,CA

Summary

Accomplished Claims Representative with a proven track record at Inova Specialty Claims, enhancing customer satisfaction and protecting company assets through meticulous claims investigation and processing. Skilled in Microsoft Office and interpersonal communication, adept at managing high volumes of claims and customer interactions with efficiency and empathy. Analytical problem-solver with excellent communication skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

13
13
years of professional experience

Work History

Claims Representative

Inova Specialty Claims
02.2021 - Current

Improved customer satisfaction by providing timely and accurate information on claim status and resolution.

  • Investigated claim details thoroughly to identify potential fraud or misrepresentation, protecting company assets.
  • Collaborated with adjusters and other professionals for comprehensive claim evaluations and accurate estimates.
  • Enhanced organizational skills through effective multitasking and prioritization of daily responsibilities.
  • Managed a high volume of insurance claims, ensuring accurate documentation and prompt processing.

Customer Service Representative

Logisticare Solutions, LLC
09.2015 - 01.2021
  • Handled customer inquiries and suggestions courteously and professionally.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Answered constant flow of customer calls with minimal wait times.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

Customer Service Representative

Freeway Insurance Agency
09.2011 - 01.2015
  • Processed policy updates and changes accurately, ensuring client needs were met in a timely manner.
  • Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
  • Documented customer interactions and transactions for accurate, up-to-date records.
  • Processed insurance policy cancellations and renewals quickly to meet call time targets.
  • Trained new customer service representatives on best practices, policies and procedures.

Education

Associate of Arts - Social Sciences

Golden West College
Huntington Beach, CA
06.2013

Skills

  • Microsoft Office
  • Insurance Claims Review
  • Claims Investigation
  • Time Management
  • Data Analysis
  • Interpersonal Communication
  • Policy understanding
  • Claims Processing
  • Customer Service

Languages

Spanish
Native or Bilingual

Timeline

Claims Representative

Inova Specialty Claims
02.2021 - Current

Customer Service Representative

Logisticare Solutions, LLC
09.2015 - 01.2021

Customer Service Representative

Freeway Insurance Agency
09.2011 - 01.2015

Associate of Arts - Social Sciences

Golden West College
Denisse Gallegos