Sachi Cepeda
Dunellen,NJ
Summary
Detail-oriented and highly organized Medical Only Claims Adjuster with a strong track record of managing high-volume caseloads while ensuring compliance with multi-jurisdictional workers’ compensation regulations. Skilled in medical bill review, documentation accuracy, and customer-focused communication with injured workers, providers, and employers.
Professional with comprehensive experience in claims processing and evaluation. Demonstrates strong analytical skills, thorough knowledge of insurance policies, and consistent track record of identifying and resolving complex claims. Valued team player with strong focus on collaboration and results, adaptable to evolving work environments. Known for reliability, problem-solving abilities, and effective communication with policyholders.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Claim Examiner
AmTrust Financial Services, Inc, AFSI
Princeton, NJ
02.2025 - Current
- Executed thorough management of over 100 claims, prioritizing precision and commitment to customer satisfaction.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Utilized internal systems to track claim status and ensure timely processing of cases.
- Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
- Collaborated with insurance adjusters to expedite claim settlements, ensuring fair resolutions for all parties involved.
Claims Assistant I
AmTrust Financial Services, Inc, AFSI
Princeton, NJ
09.2024 - 02.2025
- Assisted in the initial setup of claims, helping maintain high standards of confidentiality.
- Assisted adjusters in the field, gathering critical information for accurate evaluations of loss events and damage estimates.
- Processed incoming claims documentation, maintaining accuracy and compliance with state regulations.
- Entered claim information into internal systems while prioritizing data integrity and organization.
- Boosted departmental productivity by cross-training on various roles within the claims team, providing backup support as needed.
- Surpassed task goal quotas, resulting in a 10% improvement in overall weekly production metrics.
Merchandising Assistant I
C&S Wholesale Grocers Inc.
Edison, NJ
07.2022 - 09.2023
- Assisted with the tracking and monitoring of stock levels, ensuring product availability aligned with demand forecasts and sales trends.
- Ability to handle multiple tasks and meet deadlines in a fast-paced retail environment.
- Specialized in data integrity within several databases and softwares.
- Tracked inventory to ensure stock levels were accurate and shelves remained full. Updated product information in the system to maintain data accuracy.
- Collaborated with buyers to support promotions, new product launches, and seasonal resets. Prepared displays and followed planogram guidelines.
- Communicated with vendors to confirm order details and resolve shipping issues. Maintained organized records to streamline order processing.
- Assisted in generating weekly sales and inventory reports. Reports were used to guide restocking decisions and identify slow-moving items.
- Coordinated with warehouse teams to keep deliveries on schedule. Followed up promptly on missing or delayed shipments.
Customer Service Representative
GEICO
Somerville, NJ
01.2022 - 07.2022
- Communicated with clients and assisted with claim and policy questions and or concerns.
- Collaborated with colleagues on sales to ensure client satisfaction.
- Followed up with clients who had online quotas via email and phone call.
- Processed reports for daily quotes and policy changes per policy purchase.
Education
Associate of Science - Business Administration
Raritan Valley Community College
Branchburg Township, NJ01-2022
Skills
- Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
- Experienced with Google productivity tools
- Customer service expertise
- Effective time management
- Strong organizational abilities
- Thorough in quality assurance
- Clear interpersonal communication
- Analytical problem-solving
Certification
- Rhode Island Worker's Compensation License - 2025 - Current
- Vermont Worker's Compensation License - 2025 - Current
LANGUAGES
Spanish - Conversational
Portuguese - Basic
English
Native or Bilingual
Timeline
Claim Examiner
AmTrust Financial Services, Inc, AFSI
02.2025 - Current
Claims Assistant I
AmTrust Financial Services, Inc, AFSI
09.2024 - 02.2025
Merchandising Assistant I
C&S Wholesale Grocers Inc.
07.2022 - 09.2023
Customer Service Representative
GEICO
01.2022 - 07.2022
Associate of Science - Business Administration
Raritan Valley Community College