Jennifer Rankin

• Investigate claims through strategic contact with policyholders, claimants, law enforcement agencies, witnesses, agents, medical providers, and technical experts.

• Engage internal and external resources for effective claim evaluation, including Subrogation, Risk Control, nurse consultants, and fire or fraud investigators.

• Develop and employ creative resolution strategies for prompt and proper disposition of claims.

• Utilize evaluation documentation tools and review Claim File Analysis for adherence to quality standards.

• Share experience and knowledge of creative resolution techniques to improve claim results.

• Apply claim quality management protocols and metrics to all claims, documenting rationale for any departures.

• Assisted Team Leads to provide effective training and support to team members.

• Managed a high volume of complex claims, ensuring timely and accurate processing.

• Responsible for the review and approval of claim denials submitted through our third-party administrator

• Maintained claim files and documented activities in accordance with established procedures.

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• Responsible for the investigation, evaluation, negotiation, and settlement of 100+ claims per month

• Ensured compliance with state/federal regulations, provisions of the policy contracts, and company philosophy

• Develop professional, collaborative, and cooperative relationships with customers, and internal and external employees and clients

• Effectively lead and motivated employees through implementation of incentive plans and in-house training resulting in an increase in sales and employee satisfaction

• Handled cash and deposits using proper accounting procedures and documentation

• Updated confidential banking information and recorded cash receipts totaling $10,000+

• Communicated effectively with 75+ guests daily, senior management and coworkers to ensure excellent customer service and guest retention