Jasmyene Black

• Reviewed insurance and claims documents to verify required information missing.
• Communicate with claimants via phone and email.
• Conducted detailed investigations into suspicious claims, successfully identifying and addressing fraudulent activities.
• Enhanced customer satisfaction with timely communication,empathy, and clear explanations of claim outcomes.
• Verify enrollment and eligibility requirements for benefit leave.

• Serve as primary contact for client by managing leave of absence
  administration as determined by client contract.
• Processes and administers all leave-of-absence requests and disability
• Inform claimants of documentation required to process claims, required
  time frames and claim status information.
• Prepared insurance claim forms or related documents and reviewed for completeness.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Enhanced customer satisfaction with timely communication and empathetic support during the claims process.
• Effectively negotiated settlements for disputed claims, minimizing company exposure while maintaining client satisfaction levels.

• Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
• Examined claims forms and other records to determine insurance coverage.
• Verified insurance claims and determined fair amount for settlement.
• Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
• Prepared summaries of damage, payments, and policy coverage.
• Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
• Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.

Got promoted within the company same position just with a higher approval limit and cases

• Serve as primary contact for client by managing leave of absence
  administration as determined by client contract.
• Processes and administers all leave-of-absence requests and disability
• Inform claimants of documentation required to process claims, required
  time frames and claim status information.
• Prepared insurance claim forms or related documents and reviewed for completeness.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Enhanced customer satisfaction with timely communication and empathetic support during the claims process.
• Effectively negotiated settlements for disputed claims, minimizing company exposure while maintaining client satisfaction levels.

• Serve as primary contact for client by managing leave of absence
  administration as determined by client contract.
• Processes and administers all leave-of-absence requests and disability
• Inform claimants of documentation required to process claims, required
  time frames and claim status information.
• Prepared insurance claim forms or related documents and reviewed for completeness.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Enhanced customer satisfaction with timely communication and empathetic support during the claims process.
• Effectively negotiated settlements for disputed claims, minimizing company exposure while maintaining client satisfaction levels.

• Review Leave For FMLA and NY State Disability and Paid FamilyMedical leave claims.
• Reviewed insurance and claims documents to verify required information missing.
• Communicate with claimants via phone and email.
• Conducted detailed investigations into suspicious claims, successfully identifying and addressing fraudulent activities.
• Enhanced customer satisfaction with timely communication,empathy, and clear explanations of claim outcomes.
• Verify enrollment and eligibility requirements for benefit leave.