Detail-oriented professional with over four years of experience in claims processing and customer service. Recognized for strong problem-solving abilities and effective communication, contributing to timely case resolutions and client satisfaction.
Overview
8
8
years of professional experience
Work History
Claims Specialist
Labcorp
12.2024 - Current
Handled all assigned claims promptly and effectively.
Ran all claim reports through company system.
Determined proper policy coverages and applied appropriate claims practices to reach case resolution.
Escalated all claims to necessary departments and reviewed all claims documents for accuracy.
Acted as liaison in reference to all severe incident reports, reinsurance reports and all other case needs.
Built long lasting client relationships and prioritized outstanding customer service.
Claims Processor
Great West Casualty Company
01.2021 - 12.2024
Reported claims to insurance companies and gathered adjuster information and claim numbers.
Maintained accurate records of claim recoveries in the company system.
Generated all claims acknowledgment documents.
Resolved claims by approving or denying documentation, calculating benefits due, and determining compensation settlements.
Contacted injured parties and legal representatives to negotiate final claim settlements.
Reservation Sales Agent
Delta Air Lines
07.2022 - 10.2023
Assisted customers with inquiries and reservations, handling all calls with excellent interpersonal and communication skills to effectively provide assistance.
Managed customer inquiries regarding flight reservations and changes.
Provided information on travel policies and fare rules to customers.
Insurance Claims Representative
BlueCross BlueShield of SC
10.2019 - 12.2021
Delivered quality customer service to assigned insured parties and claimants throughout the entire claims lifecycle to improve service times.
Negotiated settlements for uncomplicated claims in accordance with company liability.
Determined liability, compensability, and benefits due on each claim.
Verified computations of interest accrued, premiums due, and settlement surrender on loan values.
Drafted statements of loss summarizing payments, underlying policy coverages, and damages.
Customer Service Rep
Connexus Resource Group
02.2019 - 12.2021
Addressed customer inquiries via phone and email, providing accurate and timely information to ensure customer satisfaction.
Assisted customers with complex issues, utilizing problem-solving skills to find effective and satisfactory resolutions.
Proactively identified opportunities to improve customer service processes, contributing to increased efficiency and customer loyalty.
Collaborated with internal teams to resolve escalated customer issues, advocating for customer needs and ensuring positive outcomes.
Customer Service Representative
Connexus Resource Group
07.2017 - 02.2019
Communicated effectively with customers via multiple channels, providing clear, concise, and helpful information to address their inquiries and concerns.
Demonstrated a proactive approach to identifying potential issues and recommending solutions, exhibiting problem-solving skills and commitment to continuous improvement.
Consistently exceeded performance goals by efficiently managing a high volume of customer inquiries while maintaining a high level of accuracy and professionalism in all interactions.
Maintained detailed records of customer interactions in the database for future reference.