Jacqueline Toombs
Atascosa,TX
Summary
Dynamic Remote Claims Specialist with Assurant Specialty Property, adept at claims processing and policy interpretation. Proven track record in enhancing customer satisfaction through effective communication and meticulous documentation review. Skilled in utilizing claims management software to streamline operations, ensuring compliance and accuracy in a fast-paced environment.
Overview
13
13
years of professional experience
Work History
Remote Claims Specialists
Assurant Specialty Property
11.2022 - 05.2025
- Reviewed and processed insurance claims to ensure compliance with policy guidelines.
- Assisted customers in understanding claim procedures and documentation requirements.
- Maintained detailed records of claims filed, ensuring accuracy and timely updates.
- Collaborated with team members to resolve discrepancies in claim information.
- Utilized claims management software to track and manage the status of pending claims.
- Provided administrative support by organizing and filing claim-related documents efficiently.
Claims Examiner
Aptia
08.2019 - 11.2022
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Claims Processor
Nebraska Medicine
04.2012 - 08.2019
- Processed claims efficiently, ensuring timely resolution and adherence to guidelines.
- Reviewed documentation for accuracy, identifying discrepancies in submitted claims.
- Collaborated with cross-functional teams to streamline claims processing workflows.
Education
High School Diploma -
Omaha. Benson High
Omaha, NE05.2009
Skills
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Microsoft office
- Policy interpretation
- Claims analysis
- Documentation review
- Time management
- Customer service
Languages
English
Full Professional
Timeline
Remote Claims Specialists
Assurant Specialty Property
11.2022 - 05.2025
Claims Examiner
Aptia
08.2019 - 11.2022
Claims Processor
Nebraska Medicine
04.2012 - 08.2019
High School Diploma -
Omaha. Benson High
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