Michelle Thompson
Plant City
Summary
Detail-oriented Claims Examiner with proven expertise in claims evaluation and dispute resolution. Strong investigative skills and regulatory knowledge drive effective customer relationship management and timely claims processing.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Claims Examiner
GEICO, Government Employees Insurance
Lakeland
04.2021 - Current
- Collaborated with internal teams to efficiently resolve claim disputes and inquiries, enhancing overall claims resolution process.
- Communicated with policyholders to gather critical information for claims processing, ensuring thorough evaluation.
- Evaluated insurance claims for accuracy and compliance with company policies.
- Utilized claims management software to effectively track and manage claim statuses.
- Ensured timely claims processing while upholding high-quality control standards.
- Managed workloads by prioritizing tasks based on urgency and importance.
- Processed claims payments and denials in accordance with established procedures.
- Investigated discrepancies in claims, resolving issues through effective communication and fostering trust with stakeholders.
Policyholder Services Rep
Liberty Mutual Insurance
Tampa
01.2018 - 01.2021
- Educated customers on policy features and benefits, improving their understanding and decision-making.
- Assisted clients in selecting suitable insurance coverage options, ensuring alignment with their needs and preferences.
- Conducted policy reviews to ensure compliance with state regulations.
- Evaluated customer needs and provided tailored recommendations for coverage.
- Advised clients on cost reduction strategies while maintaining adequate coverage.
- Responded to inquiries regarding coverage, billing, claims, and policy changes.
- Calculated premiums and established payment methods, processing customer payments efficiently.
- Engaged customers with clear explanations of documentation, facilitating smoother interactions and enhanced customer satisfaction.
Analyst/Sales and Service Specialist
Verizon Communications/Frontier Communications
Tampa
09.2005 - 07.2017
- Ensured customer satisfaction by effectively resolving issues and providing knowledgeable service.
- Collaborated with cross-functional teams to enhance operational efficiency across projects.
- Created reports that informed management decision-making initiatives.
- Monitored key performance indicators to assess project effectiveness and recommend strategies.
- Provided training sessions on analytical tools and techniques for team members.
- Implemented process improvements to streamline departmental workflows.
- Maintained accurate records of data collected during analysis processes.
- Identified and proposed process enhancements to improve organizational efficiency.
Education
High School Diploma -
Bloomingdale Senior High School
Valrico, FL05-1993
Some College (No Degree) -
Hillsborough Community College
Tampa, FLSkills
- Claims management
- Regulatory compliance
- Liability analysis
- Litigation management and support
- Dispute negotiation
- Settlement negotiations
- Payment processing
- Customer relationship management
- Investigative attention
- Teamwork and collaboration
- Organizational communication
Certification
- 620 Florida Adjuster License
- 2044 Florida Personal Lines Agent License
- Connecticut Casualty Adjuster
- Delaware Adjuster License
- Georgia(Non-Resident) Adjuster License
- Kentucky Staff Adjuster License
- Louisiana Claims Adjuster License
- New Hampshire Adjuster License
- New Mexico Staff Adjuster
- North Carolina Adjuster License
- Oklahoma Adjuster License
- Rhode Island Company/Independent Adjuster License
- South Carolina Adjuster License
- Texas Adjuster License
- Vermont Adjuster- Property and Casualty License
- Wyoming(Non-Resident) Adjuster License
Timeline
Claims Examiner
GEICO, Government Employees Insurance
04.2021 - Current
Policyholder Services Rep
Liberty Mutual Insurance
01.2018 - 01.2021
Analyst/Sales and Service Specialist
Verizon Communications/Frontier Communications
09.2005 - 07.2017
High School Diploma -
Bloomingdale Senior High School
Some College (No Degree) -
Hillsborough Community College