Desiree Spivey
Chesapeake,VA
Summary
Dynamic Claims Representative with extensive experience at the Social Security Administration, adept at enhancing operational efficiency through process improvements and training initiatives. Skilled in claims investigation and customer service, I consistently delivered timely resolutions, boosting client satisfaction and ensuring compliance with industry regulations. Proven ability to collaborate effectively within teams.
Overview
33
33
years of professional experience
Work History
Claims Representative
Social Security Adminstration
01.1988 - 12.2020
- Processed and evaluated claims for accuracy and completeness.
- Assisted clients with inquiries regarding benefits and eligibility requirements.
- Maintained detailed records of claim statuses and communications.
- Collaborated with team members to streamline claims processing procedures.
- Reviewed documentation to ensure compliance with regulations and policies.
- Delivered training sessions for new staff on claims management systems.
- Identified areas for process improvement, enhancing overall efficiency in operations.
- Developed standard operating procedures to improve consistency in claim handling processes.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Processed and recorded new policies and claims.
Education
No Degree - Business Administration
Brookdale Community College
Lincroft, NJSkills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
- Team collaboration
- Data analysis
- Decision-making
- Coverage assessments
- Documentation review
- Workers compensation
- File management
- Conflict resolution
- Documentation research
- Customer service
- Attention to detail
- Financial transactions
Timeline
Claims Representative
Social Security Adminstration
01.1988 - 12.2020
No Degree - Business Administration
Brookdale Community College