Lola Milien
Peachtree Corners
Summary
Proven Claims Representative Associate with a track record of enhancing claim handling efficiency by automating tasks at Uhaul. Excelled in claims investigation and demonstrated assertiveness, ensuring policy compliance and accuracy. Improved company-wide performance metrics, showcasing a blend of technical prowess and professional ethics.
Developed skills in fast-paced claims environment, including effective communication, problem-solving, and attention to detail. Seeking to transition into new field where these transferable skills can be applied and expanded. Focused on contributing to team success and achieving positive outcomes in new role.
Overview
5
5
years of professional experience
Work History
Claims Representative Associate
Uhaul
04.2024 - Current
- Reviewed policy documents to determine appropriate coverage levels for each individual case, ensuring fairness in settlement decisions.
- Worked closely with medical providers to ensure accurate billing and payment processes for healthcare-related claims.
- Increased efficiency by automating routine tasks using proprietary software systems.
- Educated policyholders on coverage details and assisted them in understanding their benefits.
- Conducted thorough investigations by gathering relevant information from various sources.
- Contributed to company-wide initiatives aimed at improving overall performance metrics related to claim handling.
Claims Processor
Go Insurance
03.2020 - 12.2023
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Evaluated accuracy and quality of data entered into agency management system.
- Followed up with customers on unresolved issues.
Education
Associate of Science - Medical Technology
Delgado Community College
New Orleans, LA12-2005
Skills
- Claims investigation
- Claims review
- Assertiveness
- Accuracy and precision
- Policy interpretation
- Insurance claims review
Timeline
Claims Representative Associate
Uhaul
04.2024 - Current
Claims Processor
Go Insurance
03.2020 - 12.2023
Associate of Science - Medical Technology
Delgado Community College