Leslye Torkos
Spotsylvania,VA
Summary
31 Years of Insurance claims experience to include technical property and injury claims evaluation and resolution, auditing , analysis and coaching to improve results
Overview
31
31
years of professional experience
Work History
Compliance Specialist
GEICO, Government Employees Insurance
01.2019 - 10.2023
- Supported team by pitching in to complete special projects.
- Performed quality reviews to uncover workflow and communication issues.
- Assisted with training sessions to educate claims personnel on compliance and regulatory standards
- Directed and implemented strategic improvement plans to integrate solutions to audit findings and workflow process issues.
- Training and managing teams to improve quality and performance
Claims Supervisor CSR, TCR1, TCR2
GEICO, Government Employees Insurance
06.2004 - 01.2019
- Built positive rapport and relationships for high levels of customer satisfaction.
- Resolved escalated customer service inquiries and complaints to maintain satisfaction.
- Coached and mentored service representatives to deliver polite, professional customer interactions.
- Supervised large teams with guidance, support and direction for high-quality customer care.
- Analysis of data to review areas of opportunity and develop coaching plans
Claims Adjuster CSR, TCR1, TCR2 and Continuing Unit
GEICO, Government Employees Insurance
10.1992 - 06.2004
- Responded to customer requests for products, services, and company information.
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Documented customer interactions and transactions for accurate, up-to-date records.
- Fielded customer complaints, escalating complex issues to management for resolution.
- Filed and responded to Arbitrations
- Scheduled and conducted mediations
- Prepared Litigation claims
- Checked documentation for accuracy and validity on updated systems
- Maintained confidentiality of patient finances, records, and health statuses
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
Education
Bachelors of Professional Study - Business Management
University of Mary Washington
Fredericksburg, VA05.2010
Associate of Science - Business
Germanna Community College
Locust Dale, VA05.1996
High School Diploma -
King George High School
King George, VA05.1981
Skills
- Project Coordination
- Regulatory Standards
- Employee Recognition
- Team Management
- Coaching plans
- Developed training material
- Data Analysis
Timeline
Compliance Specialist
GEICO, Government Employees Insurance
01.2019 - 10.2023
Claims Supervisor CSR, TCR1, TCR2
GEICO, Government Employees Insurance
06.2004 - 01.2019
Claims Adjuster CSR, TCR1, TCR2 and Continuing Unit
GEICO, Government Employees Insurance
10.1992 - 06.2004
Bachelors of Professional Study - Business Management
University of Mary Washington
Associate of Science - Business
Germanna Community College
High School Diploma -
King George High School
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