Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kiana Pearce

Tampa,FL

Summary

Friendly insurance professional experienced in investigating and processing insurance claims. Hardworking and communicative individual excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims. Attentive team player consistently treats clients fairly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Long Term Disability Claim Specialist 3

Metlife
02.2022 - Current
  • Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
  • Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, ensuring proper handling of sensitive information.
  • Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
  • Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
  • Provided exceptional customer service during difficult situations, displaying empathy while explaining complex claim issues clearly to clients.

SR. Loan Processor

Celebrtiy Home Loans
07.2019 - 02.2022
  • Established strong relationships with lenders, title companies, and borrowers for smooth loan transactions.
  • Managed a high-volume pipeline of loans, consistently meeting deadlines and maintaining accuracy in documentation.
  • Proactively identified potential issues within applications, taking necessary steps to rectify them before submission for approval.
  • Streamlined loan processing by implementing efficient workflow systems and task prioritization.
  • Assisted in training junior loan processors, resulting in increased productivity across the team.
  • Reviewed financial statements and contacted institutions and customers to clarify details.
  • Reviewed loan files for completeness, identified missing documentation, and generated condition lists for applicants.

Claims Processor

USAA
01.2016 - 07.2019
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
  • Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.

Sales Team Lead

New York Life Insurance Co
08.2014 - 01.2016
  • Increased sales revenue by implementing targeted sales strategies and team training sessions.
  • Expanded sales revenues by identifying opportunities and executing customized marketing plans.
  • Facilitated knowledge sharing among team members through regular meetings, fostering a collaborative work environment that encouraged innovative thinking.
  • Developed high-performing sales teams through regular coaching sessions, skill development workshops, and performance evaluations.
  • Successfully met or exceeded sales quotas on a consistent basis through strategic planning, effective communication skills, and a commitment to understanding client needs.
  • Achieved high client satisfaction ratings by consistently providing clear explanations of complex policy details and answering questions thoroughly.

Education

High School Diploma -

Thomas Jefferson High School
Tampa, FL
05.2014

Skills

  • Policy Interpretation
  • Legal Compliance
  • Financial Acumen
  • Claims Investigation
  • Documentation Review
  • Claims Processing
  • Settlement determinations
  • Decision-Making
  • Skilled in Microsoft Office
  • Relationship Building
  • Leadership and People Development

Certification

  • Property and Casualty Personal Lines - 2044
  • Life and Annuity - 214

Timeline

Long Term Disability Claim Specialist 3

Metlife
02.2022 - Current

SR. Loan Processor

Celebrtiy Home Loans
07.2019 - 02.2022

Claims Processor

USAA
01.2016 - 07.2019

Sales Team Lead

New York Life Insurance Co
08.2014 - 01.2016

High School Diploma -

Thomas Jefferson High School

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Kiana Pearce