Experienced professional with a proven track record in insurance claims analysis and human resources administration. Skilled in conducting thorough investigations, resolving complex claims efficiently, and ensuring compliance with regulations and standards. Proficient in providing exceptional customer service and administrative support, with a strong background in data management and attention to detail. Dedicated to maximizing organizational efficiency and customer satisfaction.
Overview
10
10
years of professional experience
1
1
Certification
Work History
MD Analyst II
NATIONAL GENERAL INSURANCE
09.2022 - 06.2024
Maintained detailed records of claims activities including contact information for all parties involved in a claim.
Served as a liaison between clients, adjusters, attorneys, medical providers, witnesses and others involved in the claims process.
Evaluated subrogation opportunities in order to recover payments made on behalf of an insured party.
Conducted interviews with claimants to gather facts regarding their loss or injury.
Verified liability extent with reviews of police reports, medical treatment histories and other records.
Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Central Loss Claims Representative
PROGRESSIVE INSURANCE
06.2022 - 09.2022
Managed claim documentation and paperwork, ensuring compliance with company policies and industry regulations
Conducted thorough investigations into claims, gathering evidence and documentation to support accurate assessments
Initiated rental and towing services promptly for insured individuals, facilitating seamless transitions during the claims process
Provided assistance and guidance regarding existing loss claims to ensure timely resolution and customer satisfaction
Utilized software systems to diligently document relevant information for the claims process; effectively track and process claims
Managed high-volume inbound calls to address customer inquiries and claims.
Assisted with customer inquiries, complaints, and requests for information regarding insurance policies.
Human Resource Aide II
UNIVERSITY OF SOUTH ALABAMA
09.2021 - 04.2022
Managed a multi-line telephone system, providing professional reception duties including greeting visitors and assisting with online application processes.
Administered ID card issuance and coordinated the mailing of COBRA letters, while meticulously maintaining various employee forms in compliance with Banner Data Standards, ensuring timely completion and confidentiality of employee information.
Provided comprehensive training and ongoing guidance to work-study students in their assigned Human Resource duties.
Participated in HR training and workshops to improve skills and knowledge.
Updated HR databases with employee changes in position, salary, and personal information. Maintaining employee records in compliance with state and federal regulations.
Monitored timekeeping records for accuracy and completeness.
Financial Aid Secretary
BISHOP STATE COMMUNITY COLLEGE
08.2014 - 08.2021
Provided professional receptionist services, including answering multi-line phones, greeting visitors, and assisting applicants with the online application process at Bishop State Community College
Executed various administrative and clerical tasks, such as data entry, maintaining financial aid files, and collecting, copying, and scanning documents required for the financial aid process, ensuring timely distribution to financial aid advisors
Delegated tasks to work-study students based on their strengths and skillsets, fostering collaboration and teamwork within the financial aid office
Managed the collection of essential supporting documentation for the financial aid appeal process, including medical records, police reports, and photographs, demonstrating meticulous attention to detail
Supported the Student Employee Coordinator by facilitating the collection of I-9 forms, federal and state tax documents, and student payroll authorizations, while maintaining accurate student employee records and ensuring compliance with relevant laws and regulations