Lisa Staten
Tarboro,NC
Summary
Knowledgeable Insurance representative with solid background in providing exceptional customer service within insurance sector. Adept at handling policy inquiries, processing claims, and resolving customer issues efficiently. Demonstrated expertise in communication and problem-solving.
Overview
4
4
years of professional experience
Work History
Claims Specialist
Spectraforce Technologies Inc.
01.2024 - 02.2025
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Assisted in the development of policies and procedures related to medical claims management, ensuring compliance with industry regulations.
- Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
- Effectively resolved claim disputes by conducting thorough investigations and presenting findings to stakeholders clearly and concisely.
- Submitted electronic/paper claims documentation for timely filing.
- Developed strong relationships with healthcare providers to facilitate efficient information exchange regarding patient eligibility and benefits coverage.
Insurance Specialist
Progressive
01.2021 - 01.2024
- Followed up on denials, late payments, extensions and other special circumstances.
- Maintained high standards of customer service by building relationships with clients.
- Reduced claims processing time by effectively collaborating with adjusters, claimants, and internal departments.
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Managed high-volume caseloads effectively, prioritizing urgent cases while maintaining attention to detail for all claims.
- Enhanced customer experience by promptly addressing inquiries and resolving issues related to auto insurance policies.
- Educated clients on available auto insurance products, empowering them to make informed decisions regarding their coverage options.
Education
High School Diploma -
Southwest Edgecombe High School
Pinetops, NC05-1999
Skills
- Customer service
- Goal oriented
- Critical thinking
- Problem-solving
- Active listening
- Multitasking Abilities
- Relationship building
- Product knowledge
Timeline
Claims Specialist
Spectraforce Technologies Inc.
01.2024 - 02.2025
Insurance Specialist
Progressive
01.2021 - 01.2024
High School Diploma -
Southwest Edgecombe High School
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