Jennifer Pough
Ledgewood
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
24
24
years of professional experience
Work History
Claim Professional III
Zurich, N. A.
Parsippany, NJ
01.2006 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Proved successful working within tight deadlines and a fast-paced environment.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Claim Examiner III
Clarendon National Insurance
Saddle Brook, NJ
10.2002 - 01.2006
- Developed positive relationships with clients, maintaining open lines of communication for prompt issue resolution.
- Analyzed data trends to identify areas for improvement in claims handling procedures and adjuster performance.
- Mentored junior staff members on effective negotiation strategies, helping them achieve better outcomes for both policyholders and the company itself.
- Reduced claim processing time by streamlining workflow and prioritizing tasks efficiently.
- Identified fraudulent claims through thorough investigation and collaboration with law enforcement agencies.
- Collaborated with medical professionals to verify treatment plans and ensure proper reimbursement levels.
- Assisted policyholders in understanding their coverage options, guiding them through the claims process stepbystep.
- Improved customer satisfaction by providing timely and accurate claim updates throughout the process.
- Managed high-volume caseloads, maintaining organization and attention to detail for each individual case.
- Conducted thorough investigations into complex claims, gathering detailed evidence and interviewing involved parties to reach fair conclusions.
Licensed Senior Claim Adjuster
Cambridge Integrated Services
Whippany, NJ
02.2001 - 10.2002
- Collaborated with clients to assess and process claims efficiently.
- Evaluated claim documents to ensure compliance with company policies.
- Improved accuracy of claim settlements by conducting thorough investigations.
- Conducted detailed reviews of policyholder information to verify coverage.
- Communicated with policyholders to explain claim procedures and resolve inquiries.
- Ensured compliance with regulatory standards by maintaining meticulous records.
- Analyzed insurance policies for determining coverage levels and exclusions.
Education
Associate of Applied Science - Accounting
Berkeley College
Woodland Park NJ06-1998
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Dependable and responsible
- Attention to detail
- Critical thinking
Membername
Jennifer Pough
Personal Information
Date of Birth: 07/27/71
Timeline
Claim Professional III
Zurich, N. A.
01.2006 - Current
Claim Examiner III
Clarendon National Insurance
10.2002 - 01.2006
Licensed Senior Claim Adjuster
Cambridge Integrated Services
02.2001 - 10.2002
Associate of Applied Science - Accounting
Berkeley College