Dynamic Claims Management Representative with a proven track record at 2-10 HBW, excelling in claims analysis and customer service. Enhanced client satisfaction through effective problem-solving and meticulous claims processing. Recognized for fostering strong relationships and mentoring team members, driving improved outcomes in dispute resolution and risk management.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Claims Management Representative
2-10 Hbw
Aurora, CO
01.2019 - 10.2023
Enhanced customer satisfaction with prompt and accurate claims processing.
Created detailed reports to analyze trends in claim submissions, leading to proactive strategies for minimizing risk exposure.
Established strong relationships with policyholders through clear communication and empathetic handling of sensitive situations.
Performed quality assurance checks on processed claims, identifying areas for improvement and providing constructive feedback to team members.
Managed escalated customer complaints regarding claims processing, applying problem-solving skills to resolve issues and maintain client satisfaction.
Mentored junior staff members on effective negotiation techniques, increasing overall success rates in dispute resolution.
Server
Cheesecake Factory Restaurant
Park Meadows Mall, Lonetree, Co
03.2008 - 03.2010
Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
Served food and beverages promptly with focused attention to customer needs.
Worked with POS system to place orders, manage bills, and handle complimentary items.
Collaborated with team members during busy shifts for efficient workflow and excellent guest experiences.
Cultivated warm relationships with regular customers.
Performed opening and closing duties, ensuring the dining area was prepared for seamless service transitions.
Enhanced customer satisfaction by promptly attending to their needs and providing personalized service.
Maintained a clean and orderly dining area for an enjoyable guest experience.
Education
No Degree - Massage Therapy
Denver School Of Massage Therapy
Aurora, Co
10-2012
Skills
Claims investigation
Claims analysis
Claims processing
Microsoft office
Teamwork and collaboration
Customer service
Problem-solving
Insurance policy knowledge
Attention to detail
Time management
Multitasking Abilities
Reliability
Critical thinking
Excellent communication
Team collaboration
Adaptability and flexibility
Effective communication
Active listening
Decision-making
Certification
Massage Therapy Certified
Interests
I enjoy helping others and giving back to the community
Participating in local clean-up initiatives
Reading
Avid Reader
Personal Development and Self-Improvement
Animal Care
Sharing travel tips, recommendations, and insights with fellow enthusiasts