Keren Friday
Wesley Chapel,FL
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 29 years of insurance experience. Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards. Hardworking customer service professional knowledgeable about insurance claims processes. Proven history of best-in-class service and understanding automobile policy protocols with an emphasis on the state of Florida. Dedicated to integrity and customer service work. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate Experienced Claims Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 29 years of experience and willingness to take on any challenge. Enthusiastic individual eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of training and negotiating. Motivated to learn, grow and excel in this industry. Offering excellent communication and good judgment.
Overview
33
33
years of professional experience
1
1
Certification
Work History
AMC Claims Representative
Hartford Financial
Hartford, CT
08.2001 - Current
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Proposed settlements for uncomplicated issues to resolve claims.
- Modeled exceptional customer service skills and appropriate diagnostic techniques to team members.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of medical terminology to better understand services and procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained confidentiality of patient finances, records and health statuses.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Appeared in trial as a witness.
- Appeared in a restitution hearing.
- Appeared for many depositions.
- Review, prepare and determine the appropriate response to many pre-suit demands.
BI Claims Representative
Hartford Financial
Tampa, FL
10.2000 - 08.2001
- Daily communication with medical providers, attorneys and claimants.
- Obtained complete file to evaluate value of their loss.
- Negotiated settlements with attorneys and claimants daily.
- Obtained recorded interviews of policyholders to verify information and obtain additional details.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
PIP Claims Representative
Hartford Financial
Tampa, FL
04.1995 - 09.2000
- Interviewed policyholders to verify information and obtain additional details.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Daily contact with medical providers, attorneys and claimants.
- Reviewed claims and medical records to determine if an additional action plan was supported.
Sales Representative
Champs Sports
Tampa, FL
01.1991 - 07.1995
- Increased sales by offering advice on purchases and promoting additional products.
- Achieved monthly sales goals by promoting product benefits.
- Retained excellent client satisfaction ratings through outstanding service delivery.
- Trained and mentored new sales representatives.
Medical Unit Assistant
Hartford Financial
Tampa, FL
12.1994 - 03.1995
- Adhered to strict set of rules and policies concerning patient confidentiality.
- Pleasantly interacted with claimants and medical providers to create professional environment.
- Developed exemplary skills in phone etiquette and organization from working with various levels of personnel.
- Offered positive, pleasant environment through a positive attitude and dependability, benefitting claimants, providers and co-workers.
Office Manager
Florida Dialysis Center
Tampa, FL
06.1994 - 12.1994
- Daily communication with the director, charge nurse, RN's and patients.
- Worked between two locations as needed.
- Maintained computer and physical filing systems.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Education
Associate of Science - Medical Terminology And Transcription
Hillsborough Community College
Tampa, FL06.1995
High School Diploma -
Crestview Senior High School
Crestview, FL06.1990
Skills
- Customer Service
- Negotiation skills
- Conform easily to system changes
- File Management
- Coverage Determination
- Documentation Research
- Independence
- Assertiveness
- Dependability
Certification
- Member of WEI Committee
- BIPN Ally Badge
- Cyber Badge
- Deposition skill mentoring
- DNA Core Leadership
- DNA Date Badging
- FAN Ally Badge
- FL Claims Cross-training
- FL PIP Claim Training
- HLN Ally Badge
- M365 Engagement Badge
- MilCom Ally Badge
- NewCo "Auto Bunker" Group
- Pride Ally Badge
- Pride ERG Ally Program Badge
- PWN Ally Badge
- Successful Meetings with Microsoft Teams
Member of WEI Committee
Update and recognition to Keren Friday and Tim Donlan who have been selected to represent AMC for Alison’s WEI Committee.
Timeline
AMC Claims Representative
Hartford Financial
08.2001 - Current
BI Claims Representative
Hartford Financial
10.2000 - 08.2001
PIP Claims Representative
Hartford Financial
04.1995 - 09.2000
Medical Unit Assistant
Hartford Financial
12.1994 - 03.1995
Office Manager
Florida Dialysis Center
06.1994 - 12.1994
Sales Representative
Champs Sports
01.1991 - 07.1995
Associate of Science - Medical Terminology And Transcription
Hillsborough Community College
High School Diploma -
Crestview Senior High School
Similar Profiles
Nadia GluchNadia Gluch
Director, Emerging Insurance Risk Unit at The Hartford Financial Services CompanyDirector, Emerging Insurance Risk Unit at The Hartford Financial Services Company
Geraldine SomersGeraldine Somers
Business Liaison/Data Security Analyst at The Hartford Financial ServicesBusiness Liaison/Data Security Analyst at The Hartford Financial Services
Jose PenaJose Pena
Sales Consultant at The Hartford Financial Services Group Inc.Sales Consultant at The Hartford Financial Services Group Inc.
Catalina RochaCatalina Rocha
Sales Agent/Customer Service at Open Access InsuranceSales Agent/Customer Service at Open Access Insurance
Jaiden KitchenJaiden Kitchen
Publix at CashiersPublix at Cashiers