Summary
Overview
Work History
Education
Skills
Certification
References
Languages
Timeline
Generic
Iris Maysonet

Iris Maysonet

Linden,NJ

Summary

Skilled Claims Coordinator with proven expertise in policy interpretation and claims management, honed at Aria Logistics and JB Hunt Transport. Excelled in leveraging financial acumen and teamwork to drive efficient claim processing and settlements. Achieved significant improvements in claim handling accuracy, demonstrating exceptional problem-solving and customer service skills. Highly skilled in coordinating claims processes with strong ability to manage documentation, process claims, and communicate effectively with clients and team members. Methodical and results-driven approach ensures accuracy and timely completion of tasks, backed by solid work ethic and commitment to achieving minimal errors. Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Claims Coordinator

Aria Logistics
04.2024 - Current
  • Evaluated facts surrounding each claim to determine best course of action based on company policies and procedures and state regulations
  • Home damage claims review records for appropriateness of rendered and documented findings within the system database
  • Communication
  • Data entry
  • Supervised dispatching department
  • Negotiated settlements with claimants or their representatives when appropriate under established authority levels
  • Drafted comprehensive claim reports for management review
  • Researched policy provisions and coverage issues relating to specific claims matters
  • Processed and managed incoming claims in a timely manner, ensuring accuracy of information and compliance with applicable regulations
  • Provided technical support to adjusters on complex claim issues, including resolving disputes and negotiating settlements
  • Supervised direct reports and enforced adherence to established procedures and deadlines

Administrative Assistant

Xpo Logistics
09.2015 - 04.2024
  • Managed heavy workloads by prioritizing tasks according to urgency or importance
  • Utilized critical thinking skills to research complex issues and develop creative solutions for challenging cases
  • Applied knowledge of regulations of insurance, laws, policies, procedures, guidelines and best practices when making decisions related to claims adjudication
  • Maintained accurate documentation on all claim files in accordance with company standards
  • Interpreted terms of insurance policies to determine validity of claim
  • Researched billing errors and denials using various resources including carrier websites and databases
  • Corrected processing errors by reprocessing, adjusting and recouping claims

07.2014 - 07.2015
  • Maintained files and filing, keeping sensitive information confidential
  • Answered phone calls, directed inquiries to appropriate personnel, responded to customer requests in a timely manner
  • Provided administrative support to management staff, including scheduling meetings and appointments, preparing agendas, taking minutes, and maintaining records
  • Maintained database of client contact information with accuracy and attention to detail
  • Screened incoming telephone calls, routing to appropriate personnel
  • Billing
  • Compliance
  • Liability
  • Home damage
  • Scheduled and confirmed appointments for clients, customers, and supervisors

Education

Master of Business Administration (M.B.A.) - Business Administration

Shalom Institute
Newark, New Jersey
09.2021

High School Diploma -

Ferris High School
06.1978

Skills

  • Policy Interpretation
  • Financial Acumen
  • Teamwork and Collaboration
  • Customer Service
  • Claims Management
  • Problem-Solving
  • Multitasking Abilities

Certification

  • Ordained Chaplain
  • Ordained Pastor

References

References available upon request

Languages

English
Full Professional

Timeline

Claims Coordinator

Aria Logistics
04.2024 - Current

Administrative Assistant

Xpo Logistics
09.2015 - 04.2024

07.2014 - 07.2015

High School Diploma -

Ferris High School

Master of Business Administration (M.B.A.) - Business Administration

Shalom Institute
Iris Maysonet