Faith Kelly
Utica
Summary
Results-driven Insurance Adjuster at Oriska Insurance Company specializing in claims investigation and payment authorization. Expertise in preparing detailed reports and effective client communication. Strong problem-solving skills and meticulous attention to detail contribute to successful claim resolutions, boosting customer satisfaction and trust. Compassionate Disability Claims Specialist with experience in evaluating medical evidence to determine disability qualification. Possess strong skills in case management, claims processing, and regulatory compliance. Demonstrated ability to liaise effectively between physicians, employers, and legal professionals, ensuring smooth claim progression for clients. Known for maintaining high standards of professionalism and delivering compassionate service in challenging situations.
Overview
28
28
years of professional experience
Work History
Insurance Adjuster
Oriska Insurance Company
Oriskany
04.2025 - Current
- Conducted thorough investigations to gather evidence and information on claims.
- Calculated and authorized payment of claims within designated authority level.
- Reviewed policy documents to determine coverage and claim validity.
- Prepared detailed reports summarizing findings and recommendations for approval.
- Communicated findings effectively with clients, ensuring clarity in explanations.
- Informed claimants about the claims process and answered questions regarding policies.
Intelligence Quarterly Supervisor/Survey Trainer
JETNET LLC.
Utica
08.2008 - Current
- Supervise progress of achieving daily survey goals for the research department.
- Provide feedback and training to accomplish quarterly market research surveys.
Aircraft Research Specialist
JETNET LLC.
Utica
08.2008 - Current
- Maintaining a database of owner and operator information on 100,000 private jets, helicopter and commercial airlines.
- Track ownership history and record transactions accurately into a proprietary database.
- Daily phone contact with aircraft owners and operators.
- Assist with training co-workers to navigate the internal database and resolve customer issues.
Customer Service Representative
Bank of America
Utica
09.2005 - 08.2008
- Private navigation and technical support to customers utilizing the Bank of America website.
- Promote credit cards sales to customers that are established with the bank.
- Provide customers service support with telephone banking including loans and lines of credit.
- Opening of new accounts, closing accounts, interest rates, replacement of lost or stolen cards.
- Provide on the job training coach for new hires.
Job Coach
ARC Otsego
Oneonta
06.2001 - 09.2006
- Responsible for case load of over 20 individuals with disabilities to find and maintain employment.
- Assist with Medicaid documents to support the employment for individuals.
- Develop action plans that map out the support for employment.
- Build resumes, conduct mock interviews, provide job shadowing and training.
- Canvass business for job opportunities.
Commercial Biller
Bassett Healthcare
06.2000 - 06.2001
- Bill for patient services.
- Contact patients for collection of past due payments.
- Deliver internal mail to departments.
X-Ray Technician Assistant
Bassett Healthcare
06.2000 - 06.2001
- Prep patients for test, screen for medical issues.
- Prepare contrast solutions, explain contrast procedure to patients and deliver contrast to both in-patients and out-patients.
- Make pre-exam phone calls to patients regarding directions for testing.
- Schedule appointments for radiology appointments.
- Hang radiology films.
Classroom Aide
Springbrook (fka Upstate Home for Children & Adults)
09.1997 - 06.2001
- Classroom aide for individuals with disabilities and behavioral issues.
- Day to day care for individuals, including implementing action plans for education, safety & entertainment.
- Document daily activities for Medicaid.
- Disburse medication.
Education
Associates Degree - Criminal Justice
Mohawk Valley Community College
Utica, NY05.2001
Skills
- Active Listening
- Claims investigation
- Claim payment authorization
- Report preparation
- Customer relationship management
- Data entry accuracy
- Effective communication
- Problem solving
- Time management
- Conflict resolution
- Decision-making
- Attention to detail
- Problem-solving
- Claims processing
- Customer service
- Data analysis
- Ethical judgment
- Record preparation
- Service Orientation
- Critical Thinking
References
Furnished upon request
Education Certifications
- Associates Degree in Criminal Justice, Mohawk Valley Community College, 05/01/01
- NYS Certified Basic & Advanced EMT
- CPR Instructor for the American Red Cross
- Volunteer EMS provider for the Village of Cooperstown, NY
Timeline
Insurance Adjuster
Oriska Insurance Company
04.2025 - Current
Intelligence Quarterly Supervisor/Survey Trainer
JETNET LLC.
08.2008 - Current
Aircraft Research Specialist
JETNET LLC.
08.2008 - Current
Customer Service Representative
Bank of America
09.2005 - 08.2008
Job Coach
ARC Otsego
06.2001 - 09.2006
Commercial Biller
Bassett Healthcare
06.2000 - 06.2001
X-Ray Technician Assistant
Bassett Healthcare
06.2000 - 06.2001
Classroom Aide
Springbrook (fka Upstate Home for Children & Adults)
09.1997 - 06.2001
Associates Degree - Criminal Justice
Mohawk Valley Community College
Similar Profiles
Loretta PenaLoretta Pena
Senior Underwriting Assistant at Alaska National Insurance Company/Copperpoint InsuranceSenior Underwriting Assistant at Alaska National Insurance Company/Copperpoint Insurance
Gulshan GoyalGulshan Goyal
Lead Engineer at Guardian Life Insurance Company of America (A Fortune 250 Company)Lead Engineer at Guardian Life Insurance Company of America (A Fortune 250 Company)
Srinivasan RamachandranSrinivasan Ramachandran
Actuary at Gulf Insurance Insurance and Reinsurace CompanyActuary at Gulf Insurance Insurance and Reinsurace Company
Ryan LynnRyan Lynn
Police Officer at Utica Police DepartmentPolice Officer at Utica Police Department
Ron ManzellaRon Manzella
Warehouse Group Leader at MBL USAWarehouse Group Leader at MBL USA