Farah Gregory
Fayetteville,NC
Summary
Dynamic and results-oriented professional with a proven track record at National General Insurance Company, adept in claims management and policy interpretation. Excelled in teamwork and collaboration, enhancing operational efficiency and customer satisfaction. Skilled in leveraging analytical skills and computer proficiency to drive project success and achieve organizational goals.
Overview
19
19
years of professional experience
Work History
Loss Draft Specialist
National General Insurance Company
Fayetteville, NC
02.2021 - Current
- Collaborated with fellow team members to manage large volume of loss draft claim files.
- Organized information by using spreadsheets, databases, and word processing applications for loss draft claim files.
- Collaborated with lenders and other pertinent parties to resolve issues related to loss draft claim files.
- Worked closely with internal departments to ensure timely resolution of loss draft claim files.
- Ensured that all necessary paperwork was properly filed in accordance with company policy.
- Responded promptly to customer inquiries via outbound telephone calls.
- Called insurance companies to ascertain pertinent information and to gather required documentation regarding loss draft claim files.
Eligibility Specialist
UnitedHealthcare
Plano, Texas
06.2006 - 12.2020
- Granted, modified, denied, or terminated student insurance polocies based on key information and eligibility determination.
- Participated in new hire training and development tasks.
- Coordinated with other departments to promote prompt processing of student insurance applications.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Participated in community events related to social services outreach initiatives.
- Managed intake of new claims and performed routine follow-ups.
- Collaborated with other departments within the organization to ensure accurate processing of applications.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Processed client applications in accordance with established guidelines.
- Maintained positive working relationship with fellow staff and management.
- Entered client information and files into databases for further review and tracking.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Developed strategies to improve efficiency in the processing of applications and customer service delivery.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Conducted testing of software and systems to ensure quality and reliability.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Assisted with customer requests and answered questions to improve satisfaction.
- Utilized various software and tools to streamline processes and optimize performance.
Skills
- Policy interpretation
- Loss mitigation
- Property inspection
- Claims management
- Mortgage servicing
- Data entry
- Teamwork and collaboration
- Document control
- Organizational skills
- Computer proficiency
- Patient rapport
- Analytical skills
- Reporting skills
- Communication skills
- Document review
- Excellent communication
- Critical thinking
- Recordkeeping organization
Accomplishments
- Double Diamond award - excelling in quarterly productions
Timeline
Loss Draft Specialist
National General Insurance Company
02.2021 - Current
Eligibility Specialist
UnitedHealthcare
06.2006 - 12.2020
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