Magda Escandon
Mercedes
Summary
Dedicated Claims Representative with 25+ years of experience in the insurance industry, excelling in problem-solving and effective communication. Detail-oriented professional specializing in claims processing and customer advocacy. Proven ability to resolve complex issues and maintain compliance, ensuring timely and satisfactory resolution of client inquiries and claims. Experienced in processing claims in high-volume environments. Successful at managing complete claims process with minimal direction. . Resourceful Claims Representative known for high productivity and efficient task completion. Specialized skills include claim investigation, negotiation, and customer service. Excel in communication, empathy, and problem-solving to effectively manage claims and support policyholders. Committed to delivering accurate and timely resolutions in fast-paced environments. Efficient professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks with precision. Specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.
Overview
2
2
Languages
1
1
Certification
26
26
years of professional experience
Work History
Claims Representative/Clerical
Texas Valley Insurance dba McAfee Agency
Mercedes
12.2000 - Current
- 25+ Years in Insurance Industry. I have my Property & Casualty (Insurance) License.
- Provided notary services to facilitate the signing of important documents and agreements.
- Clerical duties, Receptionist duties, mail, billing, invoicing, etc.
- Guided customers through policy inquiries and coverage options to enhance understanding and satisfaction.
- Processed claims and provided status updates to clients.
- Addressed and resolved customer complaints promptly to maintain high service standards.
- Facilitated communication between clients and insurance adjusters effectively.
- Greeted customers and provided prompt, courteous service.
- Responded to queries, solved, or referred problems and followed up with clients to increase satisfaction.
- Conducted follow-up calls to ensure satisfactory resolution of customer issues.
- Responded promptly to emails and phone calls from customers seeking assistance.
- Assisted with resolving complex claims or billing disputes in a timely manner.
- Supported customers in filing and tracking insurance claims, facilitating timely resolution of issues.
- Monitored insurance claims process, ensuring compliance with policy terms and conditions.
Education
High School Diploma -
Mercedes HS
Mercedes05-1996
Skills
- Claims processing
- Policy interpretation
- Compliance monitoring
- Claim adjustments
- Billing resolution
- Customer relationship management
- Insurance policy analysis
- Claim tracking systems
- Notary services
- Effective communication
- Problem solving
- Attention to detail
- Time management
- Customer advocacy
- Team collaboration
- Documentation review
- Insurance coverage verification
- Multitasking Abilities
- Data entry software
- Paperwork processing
- Communication skills
- Reporting skills
- Verbal and written communication
Languages
English
Professional
Spanish
Professional
Certification
- Property & Casualty Insurance License
Timeline
Claims Representative/Clerical
Texas Valley Insurance dba McAfee Agency
12.2000 - Current
High School Diploma -
Mercedes HS