Jeanne Greulich
Reynoldsburg,OH
Summary
Talented Professional with 40 years of experience and expertise in Life and Health insurance. In-depth knowledge of life and health insurance coverage eligibility, procedures and policies. 20 years in leadership and staff supervision with proven history of motivating staff to work together to achieve Company goals.
Overview
40
40
years of professional experience
1
1
Certification
Work History
Life Insurance Underwriter
State Farm Insurance Co.
Reynoldsburg, OH
03.1984 - 04.2024
- Determined the amount of coverage based on applicant's age, health status, and lifestyle choices.
- Reviewed and evaluated applications for life insurance policies to determine risk factors.
- Identified fraud or misrepresentation in applications by researching details of each case thoroughly.
- Researched relevant case histories from past experience when making decisions about complex cases.
- Analyzed medical records, financial data, and other pertinent information to assess applicants' insurability.
- Conducted interviews with applicants to clarify unclear or incomplete information.
- Communicated decisions related to pending applications in a timely manner.
- Reviewed and evaluated insurance applications to determine acceptability of risk.
Health Claims Examiner and Supervisor
State Farm Insurance Co
Bloomington, IL
03.1984 - 04.2024
- Maintained accurate files containing all relevant documents pertaining to each claim.
- Assessed financial risk associated with each claim prior to authorizing benefit payments.
- Determined if claims were valid according to established rules and regulations.
- Participated in training sessions designed to keep abreast of industry developments.
- Researched complex issues related to specific cases involving multiple parties or unusual circumstances.
- Compiled evidence from various sources such as medical records, employment histories, and legal documents.
- Performed quality assurance reviews on completed claims ensuring accuracy of documentation.
- Conducted interviews with claimants, employers, physicians and other healthcare providers to obtain additional information relevant to the claim.
- Investigated inconsistencies in documentation or reports obtained from third parties.
- Identified potential fraud by analyzing data for any irregularities or discrepancies.
- Monitored employee productivity to provide constructive feedback and coaching.
- Monitored employee productivity levels on a regular basis to identify areas of improvement.
- Directed and supervised team of 15 employees in daily operations.
Education
Bachelor of Arts - Communications
Illinois State University
Normal, IL05-1982
Skills
- Claims Management
- Claims Handling
- Professional Demeanor
- Continuous Improvement
- Written Communication
- Organizational Skills
- Risk Assessment
- Team building
Certification
- LOMA
- HIAA
- ACS
Timeline
Life Insurance Underwriter
State Farm Insurance Co.
03.1984 - 04.2024
Health Claims Examiner and Supervisor
State Farm Insurance Co
03.1984 - 04.2024
Bachelor of Arts - Communications
Illinois State University
Similar Profiles
Dwayne WimbleyDwayne Wimbley
Claims Specialist at State Farm Insurance Co.Claims Specialist at State Farm Insurance Co.
Ericka ThompsonEricka Thompson
Senior Risk Manager at State Farm Insurance Co.Senior Risk Manager at State Farm Insurance Co.
Domonique TharpsDomonique Tharps
Customer Experience Specialist at State Farm Insurance Co.Customer Experience Specialist at State Farm Insurance Co.
Daniel FranksDaniel Franks
Production Worker /Production Material Handler at Royal Building ProductsProduction Worker /Production Material Handler at Royal Building Products
Awah AgyekumAwah Agyekum
Amazon Locker Associate at AmazonAmazon Locker Associate at Amazon