John Pope II
Atlanta,GA
Summary
Detail-oriented Insurance Claims Specialist with strong analytical, investigative, and problem‑solving abilities. Experienced in reviewing large volumes of claim information, identifying trends, improving workflow accuracy, and supporting decisions through careful data review. Although new to formal analytics software tools, I bring strong critical-thinking skills, comfort working with numbers, and the ability to learn technical skills quickly. Actively pursuing opportunities to grow into a Data Analyst role.
Overview
5
5
years of professional experience
Work History
Insurance Claims Specialist
State Farm
Atlanta, GA
04.2023 - Current
- Managed and analyzed large volumes of claims data to identify discrepancies, fraud indicators, and processing inefficiencies.
- Built Excel tracking sheets and automated formulas to streamline reporting, reducing manual workload.
- Delivered weekly and monthly analytics summaries to leadership, highlighting trends, anomalies, and opportunities for improvement.
- Collaborated with underwriting, billing, and compliance teams to ensure accurate documentation and data integrity.
- Improved claim processing accuracy by conducting data validation checks and resolving inconsistencies.
- Used analytical reasoning to assess claim legitimacy, estimate payouts, and support complex investigations.
Operations Assistant
Caring Works Inc
Atlanta, Georgia
09.2022 - 01.2023
- Entered client case records into Sharenote database for major company projects.
- Facilitated logistics for client relocations across metro Atlanta, ensuring proper housing.
- Supported data entry and file maintenance to enhance overall organizational efficiency.
- Assisted operations manager in planning routine operations and special projects.
Claims Representative
Apco Holdings
Atlanta, GA
09.2021 - 03.2022
- Acquired comprehensive knowledge of insurance policies to provide tailored client recommendations.
- Facilitated effective communication with customers and insurance companies to initiate and update gap claims.
- Engaged with insurance carriers to clarify policies and individual patient benefits.
- Ensured accurate, up-to-date recordkeeping of claim information for future reference.
Auto Claims Representative
Innovative Aftermarket Systems
Austin, Texas
07.2020 - 07.2021
- Ensured compliance with company policies and industry regulations while processing road hazard claims efficiently.
- Evaluated damage reports and assessed repair costs across various vehicle types.
- Communicated with clients to gather necessary documentation and resolve inquiries promptly.
- Collaborated with repair facilities to facilitate timely resolutions and enhance customer satisfaction.
Education
Bachelor of Arts - Exercise Science
Huston-Tillotson University
Austin, TX05-2019
Skills
- Analytical Skills: Trend identification, root-cause analysis, investigative review, problem solving
- Insurance Expertise: Claims processing, case investigation, documentation auditing, fraud detection
- Data-Related Competencies: Basic spreadsheet use, accuracy checking, data entry, record reconciliation
- Professional Strengths: Communication, detail-oriented, process improvement mindset, ability to learn new tools quickly
Timeline
Insurance Claims Specialist
State Farm
04.2023 - Current
Operations Assistant
Caring Works Inc
09.2022 - 01.2023
Claims Representative
Apco Holdings
09.2021 - 03.2022
Auto Claims Representative
Innovative Aftermarket Systems
07.2020 - 07.2021
Bachelor of Arts - Exercise Science
Huston-Tillotson University