Kristi Carlson
Schuylerville,NY
Summary
Results-driven Claims Associate with expertise in claims investigation and policy interpretation, enhancing processing efficiency and customer satisfaction. Proven ability to mentor peers and improve team performance while delivering high-quality service. Committed to fostering collaboration and supporting effective claim handling.
Overview
15
15
years of professional experience
Work History
Claims Associate
State Farm Insurance
02.2020 - Current
- Serve as a key member of SHU Express team, contributing to daily operations and team objectives.
- Processed large volumes of claims efficiently in a fast-paced work environment.
- Managed high-volume claim caseloads, ensuring accurate documentation and adherence to company policies.
- Enhanced claim processing efficiency by streamlining workflows and implementing new software tools.
- Modified, updated and processed existing claims.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of claims handling.
- Resolved claims by collaborating with internal departments and external vendors to ensure timely outcomes.
- Addressed customer inquiries promptly and resolved issues to enhance overall service experience.
- Engaged with customers through follow-up communications to ensure resolution of outstanding inquiries.
- Managed payment postings to accounts, ensuring accurate record-keeping for financial transactions.
- Developed in-depth understanding of insurance policies and procedures.
- Collaborated with team members to develop strategies for efficient claims processing and improved customer experiences.
- Improved team performance by providing ongoing training and support for Claims Associates on best practices and procedures.
- Provided mentorship to junior staff members, offering guidance on effective claims handling techniques and professional development opportunities.
Food & Nutrition Associate
Saratoga Hospital
03.2012 - 02.2020
- Collaborated with healthcare professionals to ensure comprehensive patient care and optimal nutrition management.
- Collaborated with healthcare professionals to enhance patient care and optimize nutrition management.
- Supported individuals with special dietary needs by developing tailored nutritional plans to meet unique requirements.
- Monitored food intake and evaluated nutritional status to identify concerns and implement timely interventions.
RCA
USPS
01.2015 - 09.2019
- Demonstrated self-motivation by managing tasks independently in various settings.
- Organized, sorted, and delivered mail efficiently on rural route, ensuring timely service to residents.
- Worked effectively in a fast-paced environment.
- Utilized effective communication to contribute in team settings and work autonomously.
- Worked to organize, sort and deliver mail on a rural route
Education
General
Saratoga Springs High School
Saratoga Springs, NYSkills
- Claims Processing
- Claims
- Claims Investigation
- Claims evaluation
- Claims documentation management
- Claims processing
- Insurance knowledge
- Insurance Claims Review
- Policy Interpretation
- Policy understanding
- Policy Knowledge
- Coverage Determination
- Documentation Review
- Accident analysis
- Workflow improvement
- Time Management
- Decision-Making
- Conflict Resolution
- Effective communication
- Customer Service
- Team Collaboration
- Team collaboration
- Claims processing
Timeline
Claims Associate
State Farm Insurance
02.2020 - Current
RCA
USPS
01.2015 - 09.2019
Food & Nutrition Associate
Saratoga Hospital
03.2012 - 02.2020
General
Saratoga Springs High School