Gloria Wolfe
Endicott,NY
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
9
9
years of professional experience
Work History
Insurance Adjuster
State Farm
Bloomington, Illinois
07.2023 - 03.2025
- Reviewed insurance claims documentation for accuracy and compliance with company standards.
- Assisted in gathering information from policyholders regarding claims and damages.
- Collaborated with field adjusters to assess property damage and claim validity.
- Communicated with clients to explain the claims process and answer inquiries.
- Supported senior adjusters in conducting investigations and interviews for complex claims.
- Participated in training sessions to learn about policies, procedures, and industry regulations.
- Informed claimants about the claims process and answered questions regarding policies.
- Investigated properties, classified damages and created estimates outlining repair costs.
- Processed paperwork associated with approved claims payments.
- Performed data entry tasks into company systems for tracking purposes.
- Investigated insurance claims to determine coverage and liability.
- Provided excellent customer service by promptly responding to inquiries.
- Managed complex claims assessments, ensuring compliance with regulatory standards and company policies.
- Analyzed claim data to identify trends, enhancing accuracy in loss evaluations and settlement recommendations.
Patient Service Rep
Cornerstone Family Healthcare
Binghamton, New York
02.2016 - 07.2023
- Coordinated events to raise awareness of healthcare initiatives and services offered.
- Collaborated with local organizations to enhance service delivery and partnerships.
- Maintained records of outreach activities for reporting and analysis purposes.
- Fostered community outreach by coordinating rapport-building events to liaise with community members.
- Coordinated volunteers for outreach efforts in the community.
- Collaborated with community-based organizations and key stakeholders to address community initiatives.
- Organized and managed community events to promote awareness of organization's services.
- Assisted patients with scheduling appointments and managing their healthcare needs.
- Coordinated insurance verification and ensured accurate patient record maintenance.
- Managed incoming calls, addressing inquiries and resolving patient concerns promptly.
- Ensured compliance with HIPAA regulations while handling sensitive patient information.
- Processed patient information using electronic health record systems effectively.
- Trained new team members on customer service protocols and office procedures.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Registered patients by verifying records to update computer system and patient charts.
- Facilitated effective communication between patients and healthcare providers to enhance care experience.
- Utilized electronic health record (EHR) systems to maintain accurate patient information and documentation.
Education
Associate of Science - Accounting
Elmira Business Institute
Vestal, NY10.2005
Skills
- Policy interpretation
- Claims investigation
- Reserves recommendations
- Casualty and property loss
- Active listening
- Team collaboration
- Claims processing
Timeline
Insurance Adjuster
State Farm
07.2023 - 03.2025
Patient Service Rep
Cornerstone Family Healthcare
02.2016 - 07.2023
Associate of Science - Accounting
Elmira Business Institute