Kelly Chaki

• Oversaw complex long-term coverage claims processing to ensure compliance with regulatory standards and company policies.
• Conducted thorough audits of claim files to identify discrepancies, leading to improved accuracy in claims payouts.
• Prepared detailed reports on claim activity for management review, highlighting areas for improvement.
• Established trust among clients by consistently delivering fair assessments of their insurance claims.
• Coordinated with medical professionals to obtain necessary documentation for evaluating injury claims accurately.
• Reviewed policy coverage details meticulously, ensuring accurate determination of benefits payable in each case.
• Researched claims and incident information to deliver solutions and resolve problems.
• Examined claims forms and other records to determine insurance coverage.
• Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
• Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
• Handled calls from customers, caregivers, assisted living workers and skilled nursing homes about claim processes and what will be needed for reimbursement.
• Reviewed doctor and care giver reports, as well as medical treatment records to determine extent of liability.

• Learned and utilized company systems to manage customer accounts effectively .
• Adapted quickly to new processes and tools while assisting team members.
• Delivered accurate information regarding products and services, to help my customers make the best decision for them.
• Maintained detailed records of customer interactions for future reference.
• Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
• Enhanced customer loyalty by offering personalized solutions tailored to individual needs.
• Trained new Customer Service Representatives on company policies, procedures and bests practices.
• Maintained up-to-date knowledge of product and service changes and kept my customers educated on the ever-changing Medicare Part D.
• Increased efficiency and team productivity by promoting operational best practices.
• Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
• Promoted a positive work environment through active participation in team meetings and contributing ideas for organizational success.
• Delivered exceptional support during high call volume periods by maintaining composure and professionalism, ensuring timely and accurate service delivery.
• Resolved customer inquiries through effective communication and problem-solving techniques.
• Cultivated strong relationships with clients, enhancing customer loyalty and retention rates.

• Established strong relationships with clients to understand needs and provide tailored insurance solutions.
• Delivered product presentations, effectively communicating benefits to enhance client understanding and engagement.
• Collaborated with cross-functional teams to streamline sales processes and improve customer service delivery.
• Mentored junior sales representatives, sharing best practices to enhance team performance and achieve sales targets.
• Identified new business opportunities through cold calling, networking, marketing and prospective database leads.
• Recorded accurate and efficient records in customer database.
• Presented professional image consistent with company's brand values.
• Promoted conversion of casual shoppers into customers through product knowledge and product solutions to meet customer needs.

Assisted veterinarians during examinations and procedures, ensuring patient comfort and safety.

• Maintained cleanliness and organization of exam rooms, surgical areas, and equipment to ensure operational efficiency.
• Educated pet owners on post-care instructions, fostering strong client relationships and enhancing compliance with treatment plans.
• Coordinated scheduling for appointments and surgeries, optimizing clinic workflow and resource allocation.
• Collaborated with veterinary staff to support patient care, maintaining accurate medical records and documentationFacilitated efficient inventory management through regular stock checks, ordering supplies, and organizing .
• Collaborated with veterinary staff to provide exceptional customer service while managing phone calls and front desk tasks.
• Fostered compassionate atmosphere for animals and pet owners, easing anxiety and building trust.
• Led quarterly customer service meetings to review performance and set goals for improvement.
• Customized support strategies for high-priority clients to ensure their specific needs were met.
• Monitored cash drawers in multiple checkout stations and maintained adequate cash supply.