Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 8 years of insurance experience.
Overview
12
12
years of professional experience
Work History
Claims Associate
State Farm
Tempe, AZ
02.2012 - Current
Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
Affirmed or denied coverage fairly based on thorough investigations.
Investigated property damages, gathering information from diverse sources and delivering comprehensive reports.
Evaluated and settled complex insurance claims in strict timeframes.
Reviewed 75 patient cases per week and verified insurance coverage information
Quality Assurance Specialist
Sage Advantage
Scottsdale, AZ
07.2011 - 02.2012
Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
Completed deviation forms and recorded findings of inspection process, collaborating with quality team members and department managers to implement procedural remedies.
Served as information systems liaison with vendors, information services and end-users to make recommendations for optimization of systems.
Fixed identified issues to increase productivity and boost workflows
Kept inspection journals and daily summary logs as required
Customer Service Representative
Dish Network Corp
Phoenix, AZ
02.2010 - 07.2011
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Collected customer feedback and made process changes to exceed customer satisfaction goals.
Answered constant flow of customer calls with minimal wait times.
Collected customer feedback and made process changes to exceed customer satisfaction goals
Education
Associate of Applied Science -
Maricopa Community Colleges - Rio Salado Community College
Tempe, AZ
05.2024
Skills
Policy understanding
Claims
Coverage assessments
Settlement determinations
Insurance industry experience
Timeline
Claims Associate
State Farm
02.2012 - Current
Quality Assurance Specialist
Sage Advantage
07.2011 - 02.2012
Customer Service Representative
Dish Network Corp
02.2010 - 07.2011
Associate of Applied Science -
Maricopa Community Colleges - Rio Salado Community College