Vibrant young professional with a proven track record in case management and customer service excellence, notably at Atlantic Charter Insurance Group. Expert in applying investigative skills and out-of-the-box critical thinking to resolve complex claims, while fostering team collaboration. Achieved significant improvements in case resolution efficiency through meticulous organization and a people-first approach. Theatrical background provides a deep belief in supporting collaborators and building positive work environments.
Overview
10
10
years of professional experience
Work History
Workers' Compensation Claims Assistant
Atlantic Charter Insurance Group
Boston, MA
08.2023 - Current
Participated in weekly team meetings to discuss progress on open cases and claims.
Resolved discrepancies between claimant statements and employer records.
Corresponded with insured or agent to obtain information or inform of account status or changes.
Provided customer service to claimants, employers, insurance companies, attorneys. regarding their inquiries or requests for assistance.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Maintained a database of all current workers' compensation cases.
Answered incoming calls from claimants, employers, and healthcare providers to provide information about workers' compensation claims.
Determined liability, compensability, and benefits due on each claim.
Compiled data from multiple sources in order to create comprehensive case files for each claim.
Coordinated with third-party vendors to obtain additional documentation when necessary.
Communicated effectively with supervisors regarding any issues that arose during the course of handling a case file.
Tracked deadlines associated with filing appeals or completing paperwork for new claims and appeals.
Handled sensitive information in accordance with company policy and HIPAA regulations.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Processed all medical billing submitted for claimants.
Client Care Specialist/Receptionist
Hingham Animal Clinic
Hingham, MA
01.2021 - 01.2023
Monitored call queues, routing calls to appropriate personnel when necessary.
Escalated unresolved customer complaints to higher-level team members as needed.
Identified appropriate community resources and provided referrals for services.
Book and maintain appointment schedules for up to six doctors.
Triage incoming patients, both in person and over the phone, to assist doctors in prioritizing their schedule.
Maintain organized and concise callback lists for hospital staff.
Receive customer orders for prescriptions, and other specialty goods, and facilitate ordering from vendors.
Act as a telehealth liaison for the clinic, triaging over the phone to determine whether cases would be good candidates for telehealth consultations.
Monitor open balances, and manage billing.
Maintain a detailed log of inventory coming into the clinic.
Being a positive face for the clinic, assuring clients received excellent customer service in situations that were often highly emotionally charged.
Sales Associate
Anthropologie
Hingham, MA
01.2019 - 01.2023
Practiced effective conflict resolution in dealing with customer complaints.
Adapted sales strategies based on customer interactions and feedback to improve results.
Answered customer inquiries regarding product features, pricing, and availability.
Adhered to company initiatives and achieved established goals.
Opened and closed cash registers by counting money, separating charge slips and balancing drawers.
Maintained knowledge of current promotions, exchange guidelines, payment policies, and security practices.
Upsold additional items based on customer interests and needs.
Conducted inventories on a regular basis to track stock levels.
Sold various products by developing an extensive and hands-on knowledge of inventory, explaining unique features, and educating customers on what product would best suit their needs.
Assisted in visual merchandising, creating appealing displays that capture customer interest.
Engaged customers in friendly, professional dialogue to determine needs.
Sales Associate
Pleasant Surprise Shops
Newport, RI
01.2020 - 01.2021
Maintained a thorough knowledge of inventory throughout multiple shops within the network.
Assisted in the remodeling and reorganizing of several shops.
Maintained a sanitary workspace and made sure customers adhered to COVID-19 guidelines.
Analyzed sales data to identify trends and adjust sales strategies accordingly.
Adhered to company initiatives and achieved established goals.
Conducted inventories on a regular basis, and applied the data obtained to inform ordering.
Greeted customers and provided exceptional customer service.
Developed trusting relationships with customers by making personal connections.
Built and maintained relationships with peers and upper management to drive team success.
Sales Associate
Crate and Barrel
Hingham, MA
01.2017 - 01.2018
Worked with customers to get an idea of their needs, tastes, and recommended products based on this information.
Built relationships with loyal customers and identified new inventory that would suit their needs and tastes.
Assisted couples in building gift registries for weddings.
I became proficient with key items in our inventory so as to give customers demonstrations of our products.
I stayed up to date on design trends and recommended items that would complement each other stylistically.
Facilitated online orders of items not available in the store.
Took phone orders from customers nationally.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Collaborated closely with team members to achieve project objectives and meet deadlines.
Bridal Consultant
Grandasia Bridals and Formals
Quincy, MA
01.2015 - 01.2016
Scheduled appointments for prospective brides who wished to view collections or try on dresses.
Answered customer inquiries regarding product features, pricing, and availability.
Organized fittings and alterations to ensure that garments fit properly prior to the wedding day.
Organized store by returning merchandise to proper areas and restocked displays.
Formed relationships with clients and assisted brides in choosing flattering, fitting pieces.
Worked with cross-functional teams to achieve goals.
Identified needs of customers promptly and efficiently.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Updated and maintained databases with current information.
Approached customers and engaged in conversation through use of effective interpersonal and people skills.
Education
BA - Theatre Arts
Salve Regina University
01.2020
Skills
Case management software
Investigative skills
Highly organized
Multitasking capacity
Team collaboration
Confidentiality maintenance
Problem-solving aptitude
Medical terminology proficiency
Data entry software
Very much a "people-person"
Affiliations
Extensive theatrical resume ranging from community to professional productions
Frequent volunteer with the geriatric population
Heavily involved in community theater initiatives that prioritize community outreach
Volunteers time assisting with pet care and child care in the community for those who struggle to afford it
References
References available upon request.
Timeline
Workers' Compensation Claims Assistant
Atlantic Charter Insurance Group
08.2023 - Current
Client Care Specialist/Receptionist
Hingham Animal Clinic
01.2021 - 01.2023
Sales Associate
Pleasant Surprise Shops
01.2020 - 01.2021
Sales Associate
Anthropologie
01.2019 - 01.2023
Sales Associate
Crate and Barrel
01.2017 - 01.2018
Bridal Consultant
Grandasia Bridals and Formals
01.2015 - 01.2016
BA - Theatre Arts
Salve Regina University
Similar Profiles
Michelle OrlowskiMichelle Orlowski
Special Education Teacher at Atlantic Community Charter SchoolSpecial Education Teacher at Atlantic Community Charter School