Summary
Work History
Education
Skills
Languages
Timeline

Gladys Saucedo

Houston,TX

Summary

Accomplished Claims Specialist with a proven track record at David G Peake Chapter 13 Trustee, excelling in claims processing and customer service. Demonstrated expertise in critical thinking and problem-solving, enhancing claim resolution efficiency and client satisfaction. Achieved significant improvements in team productivity and data security, showcasing strong organizational skills and attention to detail.

Work History

Claims Specialist

David G Peake Chapter 13 Trustee
  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
  • Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
  • Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
  • Followed up with customers on unresolved issues.
  • Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
  • Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
  • Demonstrated adaptability by successfully managing a diverse range of claim types, including property damage, bodily injury, liability disputes, and more.
  • Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
  • Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
  • Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
  • Enhanced customer trust and satisfaction by efficiently resolving claims disputes.
  • Enhanced accuracy of claim assessments by adopting advanced analytical tools, leading to more informed decision-making.
  • Improved team morale and productivity by fostering collaborative work environment.
  • Facilitated smooth communication between claimants and adjusters, ensuring transparent and positive experience.
  • Managed portfolio of high-value claims, ensuring meticulous attention to detail and adherence to policy terms.
  • Conducted regular audits of claim files, ensuring compliance with internal and external regulations and standards.
  • Developed and implemented training programs for new claims specialists, boosting team efficiency and knowledge.
  • Streamlined claims processing procedures, significantly reducing turnaround times and improving client satisfaction.
  • Streamlined documentation workflow, enabling quicker claim resolution and enhancing customer satisfaction.
  • Enhanced data integrity and security in claim management systems, protecting sensitive information from potential breaches.

Case Analyst

David G Peake Chapter 13 Trustee

Education

2 Years -

American InterContinental University, Schaumburg, IL

Skills

  • Claims
  • Claims processing
  • Verbal communication
  • Claims analysis
  • Documentation review
  • Time management
  • Customer service
  • Critical thinking
  • Organizing and prioritizing work
  • Attention to detail
  • Teamwork and collaboration
  • Interpersonal communication
  • Multitasking Abilities
  • Problem-solving
  • Claims adjustment
  • Claim amount calculations
  • Data entry

Languages

Spanish
Full Professional
English
Professional Working

Timeline

Claims Specialist - David G Peake Chapter 13 Trustee
Case Analyst - David G Peake Chapter 13 Trustee
American InterContinental University - 2 Years ,
Gladys Saucedo