Kristie Haith
Burlington ,NC
Summary
Professional claims specialist with strong record in handling and resolving complex claims efficiently. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. Effective team collaborator with focus on achieving results and adapting to evolving requirements. Skilled in negotiation, customer service, and regulatory compliance, consistently ensuring accuracy and fairness.
Overview
7
7
years of professional experience
Work History
Claims Specialist Senior
United Healthcare
07.2024 - Current
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
Senior Customer Service Representative
United Healthcare
08.2022 - Current
- Provided backup support during peak periods or staff shortages to ensure seamless service delivery to clients at all times.
- Established strong rapport with customers, fostering long-term relationships and repeat business.
- Resolved customer service issues using company processes and policies and provided updates to customers.
- Demonstrated excellent multitasking abilities by managing multiple concurrent tasks while ensuring timely completion.
- Consistently exceeded performance targets, earning recognition as a top-performing Senior Customer Service Representative on multiple occasions.
Mortgage Specialist
Bank of America
06.2018 - 08.2022
- Enhanced client trust in the organization through transparent communication and consistent delivery on commitments.
- Achieved high customer retention rate through exceptional relationship management and personalized service.
- Provided comprehensive financial guidance to clients, recommending suitable mortgage products based on their needs and goals.
- Collaborated with real estate agents to establish referral networks, fostering mutually beneficial partnerships.
- Motivated and developed employees by creating incentives to encourage employees to excel and maintain low turnover rate.
Education
High School Diploma -
Alamance Community College
Graham, NC06-1999
Skills
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Microsoft office
- Policy interpretation
- Claims analysis
- Documentation review
Timeline
Claims Specialist Senior
United Healthcare
07.2024 - Current
Senior Customer Service Representative
United Healthcare
08.2022 - Current
Mortgage Specialist
Bank of America
06.2018 - 08.2022
High School Diploma -
Alamance Community College
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