Summary
Overview
Work History
Education
Skills
Insurance Claims
Medical Background
Education And Professional Development
Licensed in the following States:
References
Timeline
Generic

GINA T. VANE

Alexandria,KY

Summary

High-energy, cross-functional background as a resourceful insurance claims representative with an outstanding record of success in reducing claims payouts to acceptable and just amounts. Investigate, negotiate, and settle diversified claims ranging from commercial equipment to motorcycles, cars and trucks.

Overview

28
28
years of professional experience

Work History

Sr. Claim Representative, FIS Division

Great American Insurance Inc.
01.2005 - Current
  • Products worked on: CPI (Collateral Protection Insurance), BCPI (Broadened Collateral Protection Insurance), MPI (Mortgage Protection Insurance), AI (Automatic Insurance) claims, and Tenant Liability.
  • Recommended and set reserves based on expected payouts.
  • Collaborated with legal department on important claims.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Analyzed and addressed escalated claims to resolve issues quickly.

Claim Representative, Specialty Auto Division

Great American Insurance Inc.
01.2000 - 01.2005
  • Product worked on: Gap (Guaranteed Auto Protection).
  • Followed up with customers on unresolved issues.
  • Interviewed policyholders to verify information and obtain additional details.

Claim Technician, Premier Lease & Loan Division

Great American Insurance Inc.
01.1999 - 01.2000
  • Products worked on: Honda, CULA, US Trust. Residual Value Insurance Claims.
  • Prepared summaries of damage, payments, and policy coverage.

Claim Processor II, Personal Lines Claims Division

Great American Insurance Inc.
01.1997 - 01.1999
  • Products worked on: Personal Lines Auto, Liability & Property Claims.
  • Took claim calls, assigned to adjusters, entered payments for claims.

Patient Service Representative

Med Systems Management
04.1996 - 05.1997
  • Products Worked on: Medical Billing Management for multiple doctors offices and hospitals.

Education

Wright State University
Fairborn, OH

Skills

  • Microsoft Word, Excel, ECF, Pro, GPS, PAC, Internet, and Intranet proficiency
  • Claims investigation with meticulous documentation
  • Skilled customer care
  • Investigations Expertise
  • Settlement Negotiation
  • Decision-Making
  • Incident and Accident Reports
  • Policy Understanding
  • Policy Knowledge
  • Interpersonal Communication
  • Conflict Resolution
  • Coverage Determination
  • Insurance Claims Review

Insurance Claims

  • Commercial and personal lines Property Claims
  • Property damage claims
  • Evaluating and controlling expense
  • Taking recorded statements with insured’s and claimants
  • Subrogation.
  • Handling and negotiating Salvage
  • Working with Insureds, Lenders, Dealers, Borrowers and Lessees to get claims settled quickly.

Medical Background

  • File medical claims to the insurance companies for the doctors.
  • Entering patient’s information into the computer system.
  • Handle collections calls on delinquent accounts along with billing questions for the patients on the phone and in person.
  • Worked with doctor’s office to clear up their delinquent accounts.
  • Worked with Workers Comp and other insurance companies on making sure the PCP codes matched to the services rendered by the doctors.

Education And Professional Development

Wright State University, Computer Science, Communications, 1993-01-01, 1996-01-01, Completed AIC designation, Associate Claims Program Designation, INS designation, Personal Insurance, Liability Claims Adjusting, WC & Medical Aspects of Claims, Communicating with others, Negotiating as Decision Making, Commercial Auto Coverage, Personal Auto Coverage, Claim Statements, Delivering Quality Service, Claim Investigations, Auto Physical Damage, Property Casualty Basics, Property Casualty Principles, PLRB conferences

Licensed in the following States:

  • Wyoming
  • Connecticut
  • South Carolina
  • Florida
  • Texas
  • Vermont
  • Mexico
  • Delaware
  • Oklahoma
  • Kentucky
  • New Hampshire

References

Leesa Stanfill # 859-468-5844, Devin Allmoslecher # 859-445-3449, Vernita Eccleston # 513-616-3136

Timeline

Sr. Claim Representative, FIS Division

Great American Insurance Inc.
01.2005 - Current

Claim Representative, Specialty Auto Division

Great American Insurance Inc.
01.2000 - 01.2005

Claim Technician, Premier Lease & Loan Division

Great American Insurance Inc.
01.1999 - 01.2000

Claim Processor II, Personal Lines Claims Division

Great American Insurance Inc.
01.1997 - 01.1999

Patient Service Representative

Med Systems Management
04.1996 - 05.1997

Wright State University
GINA T. VANE