Natalie Rosado
Winter Haven
Summary
Dynamic PIP/MPC Claims Specialist with over eight years of experience in the insurance industry, specializing in comprehensive claims management and customer service excellence. Proven ability to conduct thorough investigations, ensuring accuracy in medical billing and records review while overseeing medical management processes. Skilled in mentoring new talent and enhancing team collaboration to drive operational efficiency. Committed to delivering exceptional service and maintaining compliance with industry regulations across multiple states.
Overview
10
10
years of professional experience
Work History
PIP/MPC Claims Specialist
State Farm Mutual Insurance
07.2022 - 07.2025
- Conduct thorough claim investigations and initiate quality first contacts.
- Review bills and records for accuracy.
- Oversee medical management processes.
- Mentor new hires during training sessions.
- Collaborate with teams to enhance claims processing efficiency.
Claims Associate
Progressive Casualty Insurance
03.2021 - 02.2022
- Obtain initial loss reports.
- Review coverages for claims assessment.
- Arrange repairs and rentals as needed.
- Communicate with clients for updates and information.
- Collaborate with vendors to expedite claim resolutions.
Claims Adjuster
Progressive Casualty Insurance
04.2019 - 03.2021
- Obtain Recorded Statements.
- Verify vehicle damages against reported losses.
- Coordinate repairs and rental services as needed.
- Conduct Thorough coverage investigations.
Claims Associate
State Farm Mutual Insurance
03.2015 - 03.2019
- Evaluate coverage for claims accurately and efficiently.
- Review medical bills, records, and wages to ensure compliance.
- Maintain Property/Casualty Licenses in Multiple States.
- Utilize Microsoft Office for documentation and reporting.
- Deliver exceptional customer service with strong interpersonal skills.
Education
High School -
William Cullen Bryant High School
01.2002
Skills
- Claims Management
- Customer Service Excellence
- Medical Billing Review
- Investigative Skills
- Team Collaboration
- Regulatory compliance
- Microsoft Office Proficiency
- Claims Assessment
- Interpersonal Skills
Timeline
PIP/MPC Claims Specialist
State Farm Mutual Insurance
07.2022 - 07.2025
Claims Associate
Progressive Casualty Insurance
03.2021 - 02.2022
Claims Adjuster
Progressive Casualty Insurance
04.2019 - 03.2021
Claims Associate
State Farm Mutual Insurance
03.2015 - 03.2019
High School -
William Cullen Bryant High School
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