Motivated Claims Adjuster specializing in personal, property, and casualty losses. Service-Oriented Claims Adjuster skilled at applying creative approaches to solving complex problems.
Overview
8
8
years of professional experience
Work History
Claim Associate S3
State Farm
Tempe, AZ
05.2019 - Current
Exceptional knowledge of claim handling procedures and use of available resources.
Serve as a team resource by mentoring and developing my peers, assisting Team Manager with escalations, provide additional one on one training with both bridge associates and new team members.
Coached team as a peer resource in areas of estimatics and subrogation.
Selected to be a part of the EST task team: Pivoted to aid Spanish Express, ILR, and Injury Open Claim Listings.
Chosen to represent express as a liaison to SIU for scope and best practices.
CSR1- Contracted With Insight Global
Centene Corporation
Tempe, AZ
11.2018 - 05.2019
Answer inquires from members regarding their health benefits/eligibility, covered services, and authorization status.
Research and resolves complex billing, claims, and benefit issues with multiple systems, tools, and resources.
Intake Members complaints, grievance, and appeals.
Verifying CPT codes for authorized services.
Sales Representative
Onestop Nutrition
Gilbert, AZ
10.2015 - 10.2018
Quick Study, with an ability to grasp information competently of new supplements.
Exhibited leadership skills through the training of newly hired employees.
Attending to customers with excellent customer service.
Developed key customer relationships to increase sales.
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm