Jodi S. Wisk
Plainville,CT
Summary
Dedicated insurance professional with a strong drive to ensure customer satisfaction and contribute to company success.
Overview
38
38
years of professional experience
Work History
Senior Account Coordinator
Allied World Assurance Company
03.2022 - Current
- Support Underwriters in administration and process of new business submissions and renewal management for Excess Casualty & Public Entity lines of business
- Work pro-actively with assigned underwriters within territories in support of our new and renewal client base
- Provide Exemplary customer service by processing binders, policy issuance and midterm service request within the established timeframes
- Provide guidance, training and ongoing support to existing Team members
- Assist with creating training materials along with job aides, to be utilized by team members
Medicare Pend Adjustment Specialist
Connecticare - Emblem Health
05.2019 - 05.2020
- Review and Process First Party Medicare Claims submitted by Medical Providers
- Four-time Spot Award Recipient
- Adjudicate claims within federal/state mandated timelines
- Investigates and resolves previously suspended claims
- Familiar with Amisys, Q-care, Esaws, Epic, Facets, Encoderpro, Webstrat Pricing, RadMD, Mckesson Contracts, Microsoft Office, Excel
- Experience with ICD-9, ICF-10 diagnosis coding and Medical Terminology
Concierge Service Specialist
Connecticare - Emblem Health
09.2018 - 04.2019
- Handle incoming inquiries through multiple channels for our CNY Gold HMO member
- Effectively and efficiently communicate resolutions to members requests ensuring high resolution rates
- Advocate for members in the event an issue arises
Medicare Pend Adjustment Specialist
Connecticare - Emblem Health
11.2015 - 09.2018
- Review and Process First Party Medicare Claims submitted by Medical Providers
- Adjudicate claims within federal/state mandated timelines
- Investigates and resolves previously suspended claims
- Familiar with Amisys, Q-care, Esaws, Encoderpro, Webstrat Pricing, RadMD, Mckesson Contracts, Microsoft Office, Excel
- Experience with ICD-9, ICF-10 diagnosis coding and Medical Terminology
Bodily Injury Claim Specialist
Liberty Mutual Insurance
11.2014 - 11.2015
- Investigate multiple jurisdictions of automobile claims from moderate to severe nature
- Negotiate settlements with Attorneys and Direct Deal Claimants
- Examine claim forms, medical records, police reports, along with other claim forms
- Provide outstanding customer service along with quality claim handling
Property Subrogation Specialist
EXL Service TPA
05.2013 - 06.2014
- Analyze property claims from USAA to determine if there is evidence to pursue recovery from a responsible third party
- Conduct Investigation with all parties to maximize subrogation recoveries
- Negotiate recovery settlements with Attorneys, Responsible Party Carriers, Third Party Administrators and Self Insured Manufacturers
- File Arbitration
- Train New Hires
- Created Training Materials
- Provide outstanding customer service along with quality subrogation handling
- Managing the subrogation cycle of a claim, including investigation, damage verification, estimating and negotiation with reserve exposures up to $100,000
Inside Property Claim Representative
The Hartford Financial Services Group
01.2008 - 05.2013
- Initial point of contact for Hartford Customers in the wake of property loss
- Manages full cycle of the claim process in a timely manner including investigation, policy and coverage analysis, damage verification, estimating and negotiation, with reserve exposures up to $100,000
- Identify fraud, perform background checks and coordinate with special investigators whenever suspicious or fraudulent activity is suspected
Inside Casualty Claim Representative
The Hartford Financial Services Group
01.1998 - 01.2008
- Investigate, evaluate, negotiate and bring to resolution automobile and bodily injury claims including settlement of total losses
- Coverage analysis, interpretation of insurance contract, determines liability and damages
- Establish appropriate loss and expense reserves
- Assisted Team Leaders with mentoring of newly hired employees
- Serve as a member of On-Call and Immediate Response Team when emergency and catastrophic situations arise
Claim Processor
The Hartford Financial Services Group
01.1995 - 01.1998
- Provide prompt service to policyholders in response to notification of automobile damage and loss, determination of damages and resolution of claim in a timely manner
- Coverage analysis, interpretation of insurance contract
- Assisted Team Leaders with mentoring of newly hired employees
Customer Service Representative
The Hartford Financial Services Group
01.1987 - 01.1995
- Responded to complex inquiries on automobile, homeowner and umbrella policies
- Applied customer skills to customers who requested information on various Hartford insurance products
- Utilized consultative skills to determine customer needs while identifying and proposing solutions
Education
Bachelor of Science -
Central Connecticut State University
Skills
- Extensive Insurance Background in Underwriting and Claims handling
- Strong interpersonal, analytical and leadership skills
- Troubleshooting and problem resolution
- Teamwork and Collaboration
References
Available Upon Request
Timeline
Senior Account Coordinator
Allied World Assurance Company
03.2022 - Current
Medicare Pend Adjustment Specialist
Connecticare - Emblem Health
05.2019 - 05.2020
Concierge Service Specialist
Connecticare - Emblem Health
09.2018 - 04.2019
Medicare Pend Adjustment Specialist
Connecticare - Emblem Health
11.2015 - 09.2018
Bodily Injury Claim Specialist
Liberty Mutual Insurance
11.2014 - 11.2015
Property Subrogation Specialist
EXL Service TPA
05.2013 - 06.2014
Inside Property Claim Representative
The Hartford Financial Services Group
01.2008 - 05.2013
Inside Casualty Claim Representative
The Hartford Financial Services Group
01.1998 - 01.2008
Claim Processor
The Hartford Financial Services Group
01.1995 - 01.1998
Customer Service Representative
The Hartford Financial Services Group
01.1987 - 01.1995
Bachelor of Science -
Central Connecticut State University
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