Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 10 years of insurance experience.
Overview
15
15
years of professional experience
Work History
Claims Representative
Progressive Insurance
07.2002 - 07.2012
Worked productively in fast-moving work environment to process large volumes of claims.
Researched and analyzed complex claims to determine next steps and possible outcomes.
Followed up with customers on unresolved issues.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Developed strong relationships with clients, facilitating trust and open communication during the claims process.
Negotiated favorable settlements with claimants, resulting in cost savings for the company.
Interviewed policyholders to verify information and obtain additional details.
Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
Facilitated prompt payment of approved claims by liaising with finance department to ensure smooth transaction processing.
Retail Sales Associate
Famous Footwear
07.2000 - 06.2002
Greeted customers and helped with product questions, selections, and purchases.
Stocked merchandise, clearly labeling items, and arranging according to size or color.
Maintained clean sales floor and straightened and faced merchandise.
Maintained a clean and organized store environment, enhancing the overall shopping experience for customers.
Helped customers complete purchases, locate items, and join reward programs.
Checked pricing, scanned items, applied discounts, and printed receipts to ring up customers.
Handled returns and exchanges professionally, resolving customer issues while adhering to company policies.
Organized store merchandise racks and displays to promote and maintain visually appealing environments.
Answered questions about store policies and addressed customer concerns.
Boosted customer satisfaction by providing exceptional service and addressing concerns promptly.
Office Assistant
Dr. Ed Hissa And Dr. Jeffrey Biro
06.1998 - 06.2000
Completed clerical tasks such as filing, copying, and distributing mail.
Interacted with customers by phone, email, or in-person to provide information.
Managed daily data entry and kept clerical information accurate and up-to-date.
Maintained confidentiality in handling sensitive information while performing administrative tasks.
Maintained and updated office records, both digital and physical.
Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
Expedited document processing with accurate data entry and timely filing.
Increased customer satisfaction by providing professional and courteous front desk support.
Daycare Teacher
The Kids Club Child Care And Nursery School Center
06.1997 - 06.1998
Sanitized toys and play equipment each day to maintain safety and cleanliness.
Provided a safe and nurturing environment for children, regularly monitoring indoor and outdoor spaces for potential hazards.
Actively encouraged children to develop their communication, problem-solving and social skills.
Maintained tidy environment to comply with cleanliness and sanitation standards.
Developed strong relationships with parents through regular communication about their child''s progress and needs.
Assisted in preparation of meals and snacks to provide children with proper nutrition.
Oversaw daily transitions between various activities such as snack time, outdoor playtime, naptime ensuring smooth operation of daily schedule.
Instructed children in health and personal habits, such as eating, resting, and toileting.
Utilized positive reinforcement strategies to encourage appropriate behaviors among students while minimizing disruptions or conflicts.
Gathered materials and resources to prepare for lessons and activities.
Engaged with children on individual basis to build positive relationships and promote learning.
Education
No Degree - Liberal Arts And General Studies
Cleveland State University
Cleveland, OH
Associate of Arts - Liberal Studies
Lakeland Community College
Willoughby, OH
06.1999
Skills
Insurance Claims Review
Team Collaboration
Interpersonal Communication
Settlement Negotiation
Flexible Schedule
Claims Processing
Customer Service
Active Listening
Teamwork and Collaboration
Claims adjustment
Insurance Coverage Verification
Claims Investigation
Time Management
Patient contact
Hobbies include:
Hobbies include:
The outdoors, animals, four wheeling, horses, anything that includes children.
Timeline
Claims Representative
Progressive Insurance
07.2002 - 07.2012
Retail Sales Associate
Famous Footwear
07.2000 - 06.2002
Office Assistant
Dr. Ed Hissa And Dr. Jeffrey Biro
06.1998 - 06.2000
Daycare Teacher
The Kids Club Child Care And Nursery School Center
U.S. East Coast and C.A. National Sales Manager at ASG Division of Jergens Inc.U.S. East Coast and C.A. National Sales Manager at ASG Division of Jergens Inc.