Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jane Monique Garcia

New Orleans,LA

Summary

Dedicated and detail-oriented professional with experience in claims management and insurance consultation. Skilled in investigating, analyzing, and resolving insurance claims while delivering exceptional customer service. Proficient in insurance policies, compliance standards, and claims management systems. Strong interpersonal and problem-solving abilities with a commitment to accuracy and efficiency.

Overview

6
6
years of professional experience

Work History

Claims Generalist Associate

Progressive
New Orleans, LA
08.2022 - Current

• Investigate and process claims, ensuring accuracy and compliance with company policies and regulatory standards.

• Communicate with claimants, policyholders, and third parties to collect necessary documentation and resolve claims promptly.

• Analyze coverage and liability details to determine appropriate resolutions and settlements.

• Maintain organized records for all claims processed, ensuring thorough documentation.

• Provide exceptional customer service in high-stress and sensitive situations, fostering trust and satisfaction.

Insurance Counselor

DaVita
New Orleans, LA
01.2019 - 07.2022

• Assisted patients with understanding insurance coverage, claims processes, and financial responsibilities.

• Verified insurance benefits and eligibility to ensure accurate billing and claims submission.

• Communicated with insurance providers to resolve discrepancies and expedite claims processing.

• Educated patients about insurance policies and financial assistance options, enhancing clarity and trust.

• Maintained accurate records in compliance with company policies and HIPAA regulations.

Education

Delgado Community College
New Orleans, LA

Skills

    Claims investigation and resolution

    Insurance policy knowledge

    Customer service and communication

    Analytical and problem-solving skills

    Proficiency in claims management systems

    Organization and attention to detail

    Compliance and regulatory adherence

Timeline

Claims Generalist Associate

Progressive
08.2022 - Current

Insurance Counselor

DaVita
01.2019 - 07.2022

Delgado Community College
Jane Monique Garcia