Devoted and detail-oriented Human Resources Specialist with 8 years' experience excelling at planning, multitasking and completing tasks to accomplish program initiatives.
Overview
8
8
years of professional experience
Work History
Claims Support Specialist
AAA Auto Club Group
Dearborn, MI
05.2021 - Current
Generated, posted and attached information to claim files daily.
Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
Prepared insurance claim forms or related documents and reviewed for completeness.
Posted payments to accounts and maintained records.
Utilized FACTS, POC, CPS, ISO, IPM, Guidewire, Mainframe, DCF, and others at expert level.
Utilized Outlook, Teams, Skype, and Microsoft Office at expert level.
Examined reports, accounts and evidence to determine integrity and accuracy of information.
Completed underwriting , VAU, and subrogation referrals.
Submitted FOIA requests.
Solely managed multiple support requests for unit of 12 Bodily Injury Claim Specialists
Product Specialist
AAA Insurance
Dearborn, MI
04.2020 - 04.2021
Trained and provided coaching to AAA Customer Service Reps and other team members.
Logged employee calls, issues, and resolutions.
Broke down and evaluated user problems, using test scripts, personal expertise and probing questions.
Responded to support requests from employees and patiently walked individuals through basic troubleshooting tasks with new system.
Assisted with developing solutions to operations issues related to Guidewire and IPM, working closely via phone, email, SKYPE and WEBEX teleconference.
Handled escalated phone calls with exceptional customer service and first call resolution.
Handled over 60 calls per day on employee assist line
Licensed Insurance Agent
AAA Auto Club Group
Dearborn, MI
04.2019 - 04.2020
Reported policy changes and company conditions affecting customer satisfaction.
Utilized advanced sales skills to overcome objections, persuade clients to purchase policies and close deals.
Upsold additional products and services after identifying customer needs and requirements.
Calculated quotes and educated potential clients on insurance options.
Provided coverage option information to assist clients in protecting assets.
Attended continuing education courses and workshops to gain additional insurance industry knowledge.
Promoted AAA products and services using upselling and other sales strategies.
Handled 70-100 calls per day
Access Center Representative
Beaumont Health System
Southfield, MI
09.2018 - 04.2019
Reviewed physicians' orders to determine patients' medical imaging needs.
Answered phone by second ring and greeted callers enthusiastically.
Scheduled, rescheduled and handled cancelled appointments for patients.
Scheduled appointments for MRI, CT, Ultrasound, Nuclear Medicine, Vascular Lab, and GI Departments.
Handled 50-100 calls per day
Claims Operations Associate
Allstate Insurance
Farmington Hills, MI
08.2016 - 09.2018
Data Entry
Managed Stale Dated Check List and efficiently resolved any matters with accounting department and 20+ employees
Updated financial log with employee's documented resolutions to ensure company compliance.
Outlined appropriate processes and procedures to fulfill and complete inquiries.
Entered client information into databases quickly and with minimal errors.
Verified accuracy and validity of data entered in databases
Participated in unit projects including but not limited to file pulls, copy/ scan work, filing, purging files
Responded to customer requests via telephone and email.
Patient Advocate
Henry Ford Health System
Detroit, MI
08.2014 - 08.2016
Used EPIC to schedule appointments.
Answered and quickly redirected up to 150 calls per day.
Managed incoming and outgoing calls while recording accurate messages.
Scheduled appointments, and registered patients.
Professionally and courteously verified appointment times with patients.
Assisted in maintenance of medical charts and/or electronic medical record (filing, Op Reports, test
results, home care forms).
Verified patients' eligibility and claims status with insurance agencies.
Prepared patient charts accurately and neatly for clinic.
Maintained strict patient and physician confidentiality.
Education
Associate of Science - Information Technology
Oakland Community College
Bloomfield Hills, MI
12.2023
Property And Casualty Insurance License - Insurance
Department of Insurance And Financial Services
Dearborn, MI
05.2019
High School Diploma -
North Western High School
Flint, MI
05.2011
Skills
Active Listening
Types 65 WPM
Written Communication
Excellent administrative abilities
Understanding of medical terms
Insurance coverage verification
Documentation abilities
Reporting skills
HIPPA compliance
Proficient in Microsoft Office, People Soft , FACTS, HRIS, KRONOS, Mainframe, Guidewire, and IPM
Willingness to Learn
Complex Problem Solving
Complaint Handling
Timeline
Claims Support Specialist
AAA Auto Club Group
05.2021 - Current
Product Specialist
AAA Insurance
04.2020 - 04.2021
Licensed Insurance Agent
AAA Auto Club Group
04.2019 - 04.2020
Access Center Representative
Beaumont Health System
09.2018 - 04.2019
Claims Operations Associate
Allstate Insurance
08.2016 - 09.2018
Patient Advocate
Henry Ford Health System
08.2014 - 08.2016
Associate of Science - Information Technology
Oakland Community College
Property And Casualty Insurance License - Insurance