Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kwajalein Butler-Cummings

Shreveport,LA

Summary

Service-oriented resolution expert with experience providing troubleshooting and support for customers in the insurance industry. Client-focused Customer Service Representative with 20+ years' experience building loyal client relationships and heightening client engagement.

Finance professional with significant expertise in managing comprehensive bookkeeping responsibilities, including accounts payable and receivable. Recognized for reliability in maintaining accurate financial records and collaborating seamlessly with team members to meet organizational goals. Known for adaptability in dynamic environments and strong analytical skills.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Insurance Bookkeeper

Caddo Parish School Board
08.2018 - Current
  • Files records of insurance transactions and keeps calendar of premiums due and expiration dates of policies.
  • Prepares vouchers for payment of premiums and verifies that payments have been made.
  • Verifies and balances payroll runs and other statements.
  • Fills in data on renewal policy applications and forwards applications to insurance company.
  • Provides information to employees and health providers.
  • Notifies insurance company of changes in property or equipment affecting insurance coverage.
  • Types amortization schedules.
  • Maintains employee files.
  • Advises a company in matters connected to health plans, insurance, and retirement funds.
  • Makes suggestions based on what is best for the client.


  • Discusses benefits packages and the full range of plans available to employees.
  • Uses different data analysis programs and performs internal reviews as needed to recommend plans that are cost-effective but also valuable to employees.
  • Performs other related duties as required or assigned.
  • Reviews, evaluates, and completes the intake process of Life and Long Term and Short Term Disability Insurance claims.
  • Investigates complex life and disability insurance claims in a timely manner.
  • Coordinates with claimants, third party administrators, funding companies, funeral homes, and insurance adjusters
  • Determines the validity and payout amount of each claim.
  • Identifies irregularities or fraudulent activities related to claims.
  • Keeps detailed records of claims and follow up on pending claims.
  • Maintains professional communication with various parties involved in claim processing.
  • Ensures compliance with company policies and legal regulations.

Workers Compensation Claims Specialist

Zurich American Insurance Company
04.2017 - 07.2018
  • Analyzed Workers Compensation Claims to confirm and determine the extent of injury and the company's liability in workplace injury claims.
  • Reviewed cases for approval and denial decisions by investigating, collecting, and compiling information to support and define the losses in line with the rules of evidence.
  • Communicated with employers, claimants, brokers regarding benefits, coverage, and compensability decisions.
  • Resolved claims according to best practices following established protocols and within policy and authority limits.

Telephone Claims Representative I

GEICO
02.2016 - 03.2017
  • Analyzed claims to determine the extent of company's liability for 1st and 3rd party auto property damage losses.
  • Reviewed new files to determine current status of injury claim and to develop a plan of action.
  • Processed 1st party injury claims.
  • Answered questions posed by insureds and attorneys.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Investigated claims involving potential and suspected fraudulent activities.
  • Substantiated legitimate claims and denied unjustified claims.
  • Collaborated with the claims department and industry anti-fraud organizations to resolve claims.

Sr. Customer Claims Representative

LIBERTY MUTUAL INSURANCE
07.2014 - 02.2016
  • Investigated 1st and 3rd Party Auto Damage Claims to determine the company's liability.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Reported to management on customer problems, field conditions, safety issues and policy problems.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Investigated claims involving potential and suspected fraudulent activities.
  • Substantiated legitimate claims and denied unjustified claims.

Marketing Support Specialist

BLUE CROSS BLUE SHIELD OF LOUISIANA
02.2011 - 02.2014
  • Assisted Subscribers, Sales Agents, Brokers, Employer Group Leaders, and internal departments with inquiries regarding employer group and individual subscriber enrollments, improperly processed claims and payments, claim denials, benefit subscriptions, and renewals while providing exceptional customer service.
  • Demonstrated a working knowledge of state-specific and COBRA insurance laws and benefits including HIPPA guidelines to provide appropriate benefit payment.
  • Supervised assigned Employer Groups' application submissions and enrollment process to ensure benefit enrollment accuracy.
  • Provided dedicated support to the Sales Department and Group Account Managers and their assigned individual and prospective subscriber accounts and assisted with renewals.
  • Maintained and updated Employer Group Account files and records and serviced group renewal documents and proposals.
  • Researched and identified claims processing errors and referred them for reprocessing and appropriate benefit payment.
  • Collected, documented, and transferred all Group Accounts Premium and Renewal payments and forwarded them to Accounts Receivables for appropriate posting.
  • Reconciled Employer Group Accounts that were cancelled due to non-payment of policy premiums.

Education

Bachelor of Arts - ENGLISH

Louisiana State University
Baton Rouge, LA
05.1999

Skills

  • Critical Thinking
  • Problem Solving
  • Oral and Written Communication
  • Leadership
  • Time Management
  • Bookkeeping
  • Accounts receivable
  • Accounting and bookkeeping
  • Invoice processing
  • Client Service
  • Technical Expertise
  • Insurance License
  • Bank statement reconciliation
  • Accounts payable

Certification

Property & Casualty Insurance License

Workers Compensation

LA & TX


Timeline

Insurance Bookkeeper

Caddo Parish School Board
08.2018 - Current

Workers Compensation Claims Specialist

Zurich American Insurance Company
04.2017 - 07.2018

Telephone Claims Representative I

GEICO
02.2016 - 03.2017

Sr. Customer Claims Representative

LIBERTY MUTUAL INSURANCE
07.2014 - 02.2016

Marketing Support Specialist

BLUE CROSS BLUE SHIELD OF LOUISIANA
02.2011 - 02.2014

Bachelor of Arts - ENGLISH

Louisiana State University

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