
Insurance professional with over 20 years of experience in claims processing, customer service, and insurance verification. Proficient in evaluating and managing insurance claims, liaising with clients, and ensuring timely settlements. Adept at handling a high volume of claims efficiently while maintaining compliance with industry standards and regulations.
• Conducted independent investigations of complex transactions with high accuracy and minimal supervision.
• Applied strong judgment, problem-solving, and analytical skills to authenticate customers and resolve issues.
• Collaborated with management, risk teams, and third parties; engaged directly with customers via phone and email.
• Researched seller activity, documented findings, and escalated variances as needed.
• Consistently met productivity, quality, and compliance standards while driving department goals.