Summary
Overview
Work History
Education
Skills
Timeline
Generic

Graham Manor

Chattanooga,TN

Summary

Dynamic Social Insurance Specialist/Claim Specialist with a proven track record of excellence in managing diverse caseloads and delivering exceptional service to clients. Leveraging extensive experience in policy interpretation, legal compliance, and financial acumen to assess eligibility, investigate claims, and determine appropriate benefit amounts. Skilled in conducting thorough assessments, collaborating with multidisciplinary teams, and implementing efficient administrative procedures to optimize workflow and ensure accuracy in processing. Adept at navigating complex regulations, resolving issues, and providing guidance to clients and stakeholders. Possesses strong analytical thinking, problem-solving, and interpersonal communication skills, enabling effective interaction with diverse clientele and colleagues at all levels. Committed to upholding the highest standards of integrity, professionalism, and customer service in all endeavors.

Overview

10
10
years of professional experience

Work History

Bilingual Claim Specialist

Social Security Adminitration
06.2019 - Current
  • Managed and ensured the accuracy of case file records, conducting thorough investigations into social insurance claims to determine coverage, eligibility, and appropriate compensation amounts. This involved timely processing of all financial audits and staying up-to-date on changes in policies and procedures to maintain compliance with federal regulations and prevent breaches or misuse.
  • Provided strategic guidance and support to management, ensuring adherence to organizational policies and regulations, advising on administrative matters, spearheading the implementation of innovative procedures and controls, and evaluating organizational operations to drive continuous improvement in efficiency and effectiveness.
  • Played a pivotal role in monitoring team performance and addressing processing errors. Developed and implemented corrective action plans to rectify mistakes, demonstrating strong leadership and problem-solving skills. Successfully managed a significant workload associated with error correction, showcasing the ability to prioritize tasks and drive continuous improvement in operational efficiency.

Senior Benefits Specialist

Unum
06.2014 - 06.2019
  • Employed a consultative sales approach to educate clients on insurance products, including life, accident, short and long-term disability, and critical illness coverage. Utilized in-depth knowledge of insurance policies to analyze client needs and provide tailored recommendations, resulting in increased enrollment and customer satisfaction.
  • Managed a high volume of inbound calls, effectively addressing client inquiries, processing policy changes, and resolving customer concerns. Leveraged exceptional communication skills to build rapport with clients, establish trust, and ensure a positive customer experience with every interaction.
  • Collaborated with cross-functional teams to develop and implement training programs on new products and procedural updates. Created comprehensive job flow guides to streamline enrollment processes and support colleagues in effectively promoting insurance offerings to clients.
  • Conducted on-site enrollments at employer locations, engaging with employees to explain benefit options, answer questions, and facilitate enrollment in insurance programs. Demonstrated proficiency in both English and Spanish to effectively communicate with diverse clientele and provide personalized assistance based on individual needs and preferences.

Education

Bachelor of Arts - Spanish Language And Literature

Covenant College
Lookout Mountain, GA
05.2014

Skills

  • Policy Interpretation/Legal Compliance
  • Financial Acumen
  • Detail-Oriented
  • Interpersonal Communication
  • Cross-Functional Collaboration
  • Analytical Thinking/Problem Solving
  • Adaptability
  • Leadership
  • Customer Service
  • Technical Proficiency

Timeline

Bilingual Claim Specialist

Social Security Adminitration
06.2019 - Current

Senior Benefits Specialist

Unum
06.2014 - 06.2019

Bachelor of Arts - Spanish Language And Literature

Covenant College
Graham Manor