Monique Carroll
Senior Claims Representative-Adjuster
Murfreesboro,United States
Summary
Senior Claims Representative with 6+ years of industry experience. Successful at exceeding customer and company needs with organized and disciplined approach that allows each claim to be treated as a life event. Detail-oriented, systematic and skilled in claim, adjustment, escalation and project resolution from start to finish.
Overview
11
11
years of professional experience
6
6
years of post-secondary education
1
1
Certification
Work History
Owner/Operator
Yort Maid Cleaning Service
Murfreesboro, Tennessee
04.2021 - Current
- Performs statistical analyses to gather operational data and forecast team needs.
- Trains and increased motivation of employees to perform daily business functions.
- Manage day-to-day business operations.
- Established detailed time management schedule implementation across team.
Senior Claims Representative-Adjuster
Optum
Brentwood, TN
08.2014 - 04.2021
- Provided expert customer service by verifying claim information, reviewing, researching, investigating and processing claims/adjustments in timely manner.
- Reviewed, researched and completed escalated claims/projects to resolve complex issues for team members and internal departments while navigating multiple computer systems and platforms.
- Consistently achieved and surpassed performance metrics.
- Assisted in development of new hires and upscale training of current employees.
- Experience with computer and Windows PC applications, which includes ability to navigate and learn new and complex computer system applications
Residential Service Provider
Res Care
Bowling Green, Kentucky
10.2011 - 08.2014
- Assisted clients in finding various opportunities for success through support services.
- Increased client adherence to service contracts via close monitoring.
- Assisted direct care supervisor in assessment of clients abilities, interest and need areas toward independent living.
- Maintained overall safe work environment with daily record keeping for quality standards.
- Assisted in development of new hires and upscale training of current employees.
Education
No Degree - Nursing
Western Kentucky University
Bowling Green, KY 05.2001 -
Bachelor of Science - Business Administration And Management
Mid-Continent University
Mayfield, KY 01.2006 - 12.2010
Real Estate License - Real Estate
Ward Elliott Institute
Bowling Green, KY 01.2002 - 05.2003
Skills
Staff management
undefinedCertification
OJT-On The Job Trainer
Timeline
Owner/Operator
Yort Maid Cleaning Service
04.2021 - Current
OJT-On The Job Trainer
07-2017
Senior Claims Representative-Adjuster
Optum
08.2014 - 04.2021
Residential Service Provider
Res Care
10.2011 - 08.2014
Bachelor of Science - Business Administration And Management
Mid-Continent University
01.2006 - 12.2010
Real Estate License - Real Estate
Ward Elliott Institute
01.2002 - 05.2003
No Degree - Nursing
Western Kentucky University
05.2001 -
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