Dedicated, ethical, and results-driven customer service professional with experience in the customer service arena with an unwavering commitment to building productive relationships and winning customer loyalty. Motivated to achieve customer satisfaction and contribute to company success by utilizing strong time management, communication, and prioritization skills. Analytical thinker skilled at developing innovative solutions to complex problems.
Hi, I’m
Kira-Khavalier Allen
Bedford,TX
Summary
Overview
8
years of professional experience
Work History
The Hartford
Catastrophe Claims Adjuster
05.2022 - 03.2023
Job overview
- Promptly contacted customers, which included insured, public adjusters, contractors, within 3 days of receipt of claim in order to verify contact information, review past claim history, coverages, damages, and set expectations for next steps.
- Managed high volume of claim inventory, which ranged between 70-100 events.
- Provided exceptional customer service by responding to incoming calls, emails, faxes, and mail.
- Worked with other departments to resolve claim, which included field adjusters, water mitigation specialist, independent adjusters, special investigation unit, and underwriting.
- Reviewed damage inspection reports along with weather reports to confirm coverage for property.
- Utilized Xactimate to write estimates for covered damages. Identified and wrote denials for any non-covered damages noted during inspection.
- Negotiated with contractors regarding supplements received for covered damages.
The Best Claims Solution
Independent Insurance Adjuster
01.2022 - 04.2022
Job overview
- State Farm Auto Catastrophe Assignment
- Adjuster for Expedited Total Loss claim
- Examined claims forms and other records to determine insurance coverage.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Directed claims negotiations within allowable limit of $50,000 and supported successful litigations for advanced issues.
- Prepared summaries of damage, payments, and policy coverage.
- Answered customer questions regarding deductibles.
- Organized, planned and documented materials for Auto claims.
- Negotiate damages and repairs with repair and service providers
- Answered customer questions regarding deductibles
Cardinal Health
Benefit Verification Specialist
11.2020 - 12.2021
Job overview
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Researched and evaluated new benefits programs to select cost-effective providers and coverage levels.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Reviewed 15-20 patient cases daily, verify plan coverage.
- Process inbound faxes, data entry, inbound and outbound calls to insurance carriers and participants.
- Assist participants with insurance benefit verification including prior authorization, appeals, etc.
Willis Towers Watson
Customer Service Representative
06.2017 - 04.2020
Job overview
- Answered constant flow of customer calls with minimal wait times, 50 - 100 calls daily.
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Advocate for medicare retirees.
- Assist with medical/vision/dental/prescription plan enrollment.
- Reviewed files and applied state specific guidelines, client policies, and endorsements.
Methodist Health System
Patient Access Coordinator
01.2015 - 03.2017
Job overview
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Registered and verified approximately 60 - 100 patient records with most up-to date information.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Providing excellent customer service by promptly answering patient inquiries.
- Trained new staff on hospital processes and procedures.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Education
The College of Health Care ProfessionsAustin, TX
Associate of Science
05.2020
University Overview
Skills
- Reserve Management
- Policy Investigations
- CCC Pathways
- Insurance Fraud Expertise
- Claims File Management Processes
- Conflict Resolution
- Estimate Repair Costs
- Customer Service Expertise
- Xactimate Specialist
- Strong Communication and Interpersonal Skills
- Quality Control
- Claims Negotiation
- Microsoft Word
- Data Analysis
- Risk Management
- Report Writing
- Property Claims
- Advanced Oral and Written Communication Skills
- Claims Adjustments
- Appraisal and Salvage Operations
- Texas Claims Adjuster License
- Asbestos Claims
- Hail and Wind Damage Assessment
- Investigate Property Damage
- Preparing Written Reports
- Deductible Collection
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Timeline
Catastrophe Claims Adjuster
The Hartford
05.2022 - 03.2023
Independent Insurance Adjuster
The Best Claims Solution
01.2022 - 04.2022
Benefit Verification Specialist
Cardinal Health
11.2020 - 12.2021
Customer Service Representative
Willis Towers Watson
06.2017 - 04.2020
Patient Access Coordinator
Methodist Health System
01.2015 - 03.2017
The College of Health Care Professions
Associate of Science
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