Michelle Rice
Rome,NY
Summary
At Metlife, I excelled as a Claim Specialist, mastering claims analysis and fostering strong relationships. My proactive approach and effective communication led to a significant improvement in claim processing efficiency and customer satisfaction. Skilled in both regulatory compliance and team collaboration, I consistently delivered results beyond expectations.
Overview
3
3
years of professional experience
Work History
Claim Specialist
Metlife
Oriskany, NY
11.2021 - Current
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Responded promptly to customer complaints or requests for assistance.
- Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
- Monitored incoming mail and emails related to claim submissions from customers.
- Collaborated with fellow team members to manage large volume of claims.
- Provided feedback to customers on their claim progress.
- Assisted new policyholders with processing claims.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Drafted correspondence such as letters, memos, or emails in response to customer inquiries.
Education
High School Diploma -
Westmoreland High School
Westmoreland, NY06-2000
Skills
- Claims analysis
- Quality control
- Small claims payouts
- Excellent communication
- Relationship building
- Reliability
- Numeracy skills
- Regulatory compliance adherence
- Self motivation
- Multitasking Abilities
- Team collaboration
- Payment and investigation escalations
- Client interviews
- Financial transactions
- Task prioritization
- Communication skills
- Customer service
- Claims documentation
- Claim amount calculations
Affiliations
- I have 2 children ages 13 and 18 who I love spending time with
- Camping
- Kayaking
- vacations
References
References available upon request.
Timeline
Claim Specialist
Metlife
11.2021 - Current
High School Diploma -
Westmoreland High School
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