Enthusiastic Insurance Claims Specialist examines claims, negotiates and processes settlements and verifies insurance coverage. Attentive team player consistently treats clients fairly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Insurance Claims Specialist
GEICO
12.2022 - 10.2023
Assisting policy holders and claimants in navigating through the claims process
Preparing auto claims, investiagting liability and coverage
Dispatching tows, scheduling inspections and rentals to assist customers
Negotiating liabilty with other insurance companies, along with providing excellent customer service.
Customer Service Representative- Video Repair
Charter Communictions
01.2022 - 05.2023
Provide excellent customer service for incoming calls from customers who are having difficulties with services, building rapport and guiding customers through troubleshooting for their devices
I also assist with some Internet issues, rebooting equipment, self-install assistance and answering billing questions
I participate in training, and weekly coaching for different area of opportunities where I can be a better rep for my customers and a better teammate for my team and supervisor.
Customer Service Representative
Spectrum Communications
08.2020 - 01.2022
Assisting customers with billing and repair issues
Correcting info in customer accounts, billing history, issuing verified credits, configuration of modem/routers
Providing an effortless customer experience.
Community Based Instructor
People Inc.
07.2019 - 08.2020
Home visits, encouraging clients to meet their individual goals, some personal care, Med certified, lift experience, documentation via Therap, Quick Mar experience, computer literate.
CDA Trainer
Community Action Organization
05.2016 - 08.2016
Designed and supplemented various aspects of the curriculum for the certification of students to become Child Development Associates
Taught the 3-month course, Monday through Friday, utilizing a variety of teaching techniques including multimedia, coordinating internships in Buffalo Headstart classrooms, materials and textbooks, etc
Oversaw and assisted students in the preparation of portfolios for presentations to key decision-makers in, predominantly, daycare centers throughout Western New York to secure CDA positions
Created and assigned daily homework, including research and quizzes for review and discussion in next-day classes.
Receptionist
Niagara Falls Memorial Medical Center
04.2007 - 09.2008
Answered phones, coordinated and scheduled appointments with patients and up to 4 gastroenterologists, routing calls to appropriate personnel, or took messages
Greeted patients arriving for appointments and reviewed insurance information, secured authorizations, collected co-pays, and created/updated patients charts
Filed hard copy patient documents/information and faxed medical data to appropriate agencies or insurance companies accordingly
Worked in tandem with medical billers to resolve issues and clarify information.
Education
Master of Education -
North Central University
San Diego, CA
01.2018
Master of Arts in Teaching - Teaching
Kaplan University
01.2015
Bachelor of Science in Healthcare Administration - Healthcare Administration
University of Phoenix
Phoenix, AZ
01.2013
Associate of Applied Science in Healthcare Administration - Healthcare Administration
University of Phoenix
Phoenix, AZ
01.2012
Certificate in Medical Billing -
Niagara County Community College
Sanborn, NY
01.2003
Skills
Organizational Skills
Time Managemen
Claims
Teamwork and Collaboration
Customer Service
Insurance Verification
Multi-line Phone Systems
Phone Etiquette
Accident Investigations
Coverage Assessments
Certification
First Aid Certification
Additional Information
Possesses 2 master degrees, one in Education, K-12 and also in Teaching , teaching students from all grade levels, and familiar or knowledgeable in determining qualifications for advancement to next grade level or receiving appropriate diplomas or certificates through formal and/or informal assessment testing
Over 10 years' experience as a Teacher of children, Pre-K through 12th Grade, some with physical and mental disabilities, including autism, multiple handicapped, speech/language impairments, behavioral issues, ADD, ADHD, and more, teaching language arts and math in accordance with state regulations
Experienced teaching the Child Development Associate program to CDA students, teaching up to 20 adult students per class, setting initiatives of the course, and performing assessments on individuals prior to granting certification credentials
Designs, develops, and implements daily lesson plans
Experienced teaching a wide range of curriculums and works closely with children with special needs
Monitors the behavior of children, teaching a wide range of subjects, and interacts with parents relaying incident and/or progress reports
Administers various aptitude tests to evaluate academic progress
Over 2 years' experience performing medical billing and coding duties in a hospital setting, completing all assignments with accuracy and expediency
Over 1 year experience as a medical receptionist in a hospital setting, answering multi-line phones, routing callers to appropriate personnel and/or taking messages, created and updated patients' charts as per directions of medical staff
Over 15 years' experience providing uncompromising highest standards of customer service in teaching/education, various office, and retail settings, working with both internal and external customers, assisting customers/students with their product/service requirements and selections, offering intelligent solutions customized to individual needs, and resolving issues to their complete satisfaction
Strong communications, math, and problem-solving skills
Leverages technology to enhance productivity, Windows, MS Office, Internet research, and email
Works well independently or in a team environment
Languages
English
Personal Information
Work Permit: Authorized to work in the US for any employer
Title: Customer Care and Human Services
Awards
Kappa Delta Phi, 04/01/18
Timeline
Insurance Claims Specialist
GEICO
12.2022 - 10.2023
Customer Service Representative- Video Repair
Charter Communictions
01.2022 - 05.2023
Customer Service Representative
Spectrum Communications
08.2020 - 01.2022
Community Based Instructor
People Inc.
07.2019 - 08.2020
CDA Trainer
Community Action Organization
05.2016 - 08.2016
Receptionist
Niagara Falls Memorial Medical Center
04.2007 - 09.2008
Master of Education -
North Central University
Master of Arts in Teaching - Teaching
Kaplan University
Bachelor of Science in Healthcare Administration - Healthcare Administration
University of Phoenix
Associate of Applied Science in Healthcare Administration - Healthcare Administration